| Access Counseling Services, Llc | |
|
4464 S Dixie Hwy Middletown OH 45005-5464 | |
| (513) 649-8008 | |
| (513) 649-8004 |
| Full Name | Access Counseling Services, Llc |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 4464 S Dixie Hwy, Middletown, Ohio |
| Authorized Official Name and Position | Deanna L Proctor (EXECUTIVE DIRECTOR/CEO) |
| Authorized Official Contact | 5136498008 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Access Counseling Services, Llc 4464 S Dixie Hwy Middletown OH 45005-5464 Ph: (513) 649-8008 | Access Counseling Services, Llc 4464 S Dixie Hwy Middletown OH 45005-5464 Ph: (513) 649-8008 |
| NPI Number | 1245583673 |
|---|---|
| Provider Enumeration Date | 10/23/2012 |
| Last Update Date | 09/13/2018 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1245583673 | NPI | - | NPPES |
| 01-0693 | Other | OH | CARF RE-CERTIFICATION |
| 0074861 | Other | OH | ODADAS |
| 2062823 | Other | OH | STATE OF OHIO CERTIFICATE |
| 13351 | Other | OH | OHIO DEPARTMENT OF ALCOHOL AND DRUG ADDICTION SERVICES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YA0400X | Counselor - Addiction (substance Use Disorder) | 13351 (Ohio) | Secondary |
| 251S00000X | Community/behavioral Health | 13351 (Ohio) | Primary |
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