Provider Demographics
NPI:1235220054
Name:ARANSAS COUNTY COUNSELING AND EDUCATIONAL SUPPORT SERVICES INC
Entity Type:Organization
Organization Name:ARANSAS COUNTY COUNSELING AND EDUCATIONAL SUPPORT SERVICES INC
Other - Org Name:ACCESS
Other - Org Type:Doing Business As
Authorized Official - Title/Position:BOARD PRESIDENT
Authorized Official - Prefix:MRS
Authorized Official - First Name:CANDACE
Authorized Official - Middle Name:
Authorized Official - Last Name:DERRICK
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:361-729-0633
Mailing Address - Street 1:901 E MAIN ST
Mailing Address - Street 2:
Mailing Address - City:ROCKPORT
Mailing Address - State:TX
Mailing Address - Zip Code:78382-2632
Mailing Address - Country:US
Mailing Address - Phone:361-729-0633
Mailing Address - Fax:361-790-8527
Practice Address - Street 1:901 E MAIN ST
Practice Address - Street 2:
Practice Address - City:ROCKPORT
Practice Address - State:TX
Practice Address - Zip Code:78382-2632
Practice Address - Country:US
Practice Address - Phone:361-729-0633
Practice Address - Fax:361-790-8527
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-09-27
Last Update Date:2024-04-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessionalGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX081263801Medicaid