Provider Demographics
NPI:1174299556
Name:I.A.M. COUNSELING SERVICES, PLLC
Entity Type:Organization
Organization Name:I.A.M. COUNSELING SERVICES, PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/CEO
Authorized Official - Prefix:
Authorized Official - First Name:CHERRELLE
Authorized Official - Middle Name:LATRICE
Authorized Official - Last Name:BARTON
Authorized Official - Suffix:
Authorized Official - Credentials:LCSW
Authorized Official - Phone:210-683-1783
Mailing Address - Street 1:13423 BLANCO RD # 675
Mailing Address - Street 2:
Mailing Address - City:SAN ANTONIO
Mailing Address - State:TX
Mailing Address - Zip Code:78216-2187
Mailing Address - Country:US
Mailing Address - Phone:210-564-7466
Mailing Address - Fax:210-492-0747
Practice Address - Street 1:13423 BLANCO RD # 675
Practice Address - Street 2:
Practice Address - City:SAN ANTONIO
Practice Address - State:TX
Practice Address - Zip Code:78216-2187
Practice Address - Country:US
Practice Address - Phone:210-564-7466
Practice Address - Fax:210-492-0747
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-08-17
Last Update Date:2021-08-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QM0801XAmbulatory Health Care FacilitiesClinic/CenterMental Health (Including Community Mental Health Center)
No251B00000XAgenciesCase Management