Organization Name: | THERAPEUTIC COUNSELING SERVICES PLLC |
NPI Number: | 1518116722 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | ROGER DEAN COLEMAN (OWNER/SOLE PROVIDER) |
Mailing Address: | 384 N Mayo Trl Pikeville |
State: | KY US |
Postal Code: | 415011493 |
Phone Number: | 6064323019 |
Fax Number: | |
NPI Enumeration Date: | 09/11/2008 |
NPI Last Update Date: | 09/17/2013 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 101YM0800X |
License Number: | 1854 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | KY |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Counselor |
Taxonomy Specialization: | Mental Health |
Taxonomy Definition: |