Organization Name: | ALLIANCES COUNSELING SERVICES |
NPI Number: | 1154652147 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | BRIAN A SMITH (CLINICIAN) |
Mailing Address: | 119 W 1st St Suite 110 Dixon |
State: | IL US |
Postal Code: | 610213056 |
Phone Number: | 8152853073 |
Fax Number: | 8152853103 |
NPI Enumeration Date: | 01/15/2010 |
NPI Last Update Date: | 01/15/2010 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 1041C0700X |
License Number: | 149010806 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | IL |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Social Worker |
Taxonomy Specialization: | Clinical |
Taxonomy Definition: | A social worker who holds a master |