Organization Name: | PROFESSTIONAL COUNSELING SERVICES |
NPI Number: | 1730554668 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | JIM MCCORMICK (OFFICE MANAGER) |
Mailing Address: | 6 Office Park Cir Suite 100 Mountain Brk |
State: | AL US |
Postal Code: | 352232512 |
Phone Number: | 2053131793 |
Fax Number: | 2059794670 |
NPI Enumeration Date: | 12/03/2015 |
NPI Last Update Date: | 12/03/2015 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 101YP2500X |
License Number: | 2518 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | AL |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Counselor |
Taxonomy Specialization: | Professional |
Taxonomy Definition: |