Provider Demographics
NPI:1154687390
Name:PREFERRED CARE ASSOCIATES, LLC
Entity Type:Organization
Organization Name:PREFERRED CARE ASSOCIATES, LLC
Other - Org Name:PREFERRED CARE COUNSELING
Other - Org Type:Doing Business As
Authorized Official - Title/Position:MEMBER
Authorized Official - Prefix:MR
Authorized Official - First Name:JOSEPH
Authorized Official - Middle Name:ANDREW
Authorized Official - Last Name:HUMPHRIES
Authorized Official - Suffix:
Authorized Official - Credentials:LPCC
Authorized Official - Phone:330-757-3975
Mailing Address - Street 1:425 NILES CORTLAND RD SE
Mailing Address - Street 2:SUITE #201
Mailing Address - City:WARREN
Mailing Address - State:OH
Mailing Address - Zip Code:44484-2478
Mailing Address - Country:US
Mailing Address - Phone:330-856-3975
Mailing Address - Fax:
Practice Address - Street 1:425 NILES CORTLAND RD SE
Practice Address - Street 2:SUITE #201
Practice Address - City:WARREN
Practice Address - State:OH
Practice Address - Zip Code:44484-2478
Practice Address - Country:US
Practice Address - Phone:330-856-3975
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2012-04-02
Last Update Date:2012-04-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OHE-2713101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental HealthGroup - Single Specialty