Provider Demographics
NPI:1053688994
Name:GARRETT ASSESSMENT & COUNSELING SERVICES, INC.
Entity Type:Organization
Organization Name:GARRETT ASSESSMENT & COUNSELING SERVICES, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:WILEY
Authorized Official - Middle Name:HARD
Authorized Official - Last Name:GARRETT
Authorized Official - Suffix:JR
Authorized Official - Credentials:LCSW
Authorized Official - Phone:828-230-9591
Mailing Address - Street 1:2009 PLOTT CREEK RD
Mailing Address - Street 2:
Mailing Address - City:WAYNESVILLE
Mailing Address - State:NC
Mailing Address - Zip Code:28786-7148
Mailing Address - Country:US
Mailing Address - Phone:828-230-9591
Mailing Address - Fax:888-227-1739
Practice Address - Street 1:413 WALNUT ST
Practice Address - Street 2:
Practice Address - City:WAYNESVILLE
Practice Address - State:NC
Practice Address - Zip Code:28786-3256
Practice Address - Country:US
Practice Address - Phone:828-230-9591
Practice Address - Fax:888-227-1739
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-11-21
Last Update Date:2011-11-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NCC003112251S00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251S00000XAgenciesCommunity/Behavioral Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
NC6003045Medicaid
NC2870193Medicare UPIN