Provider Demographics
NPI:1255499364
Name:AFFILIATED COUNSELING AND PSYCHOTHERPY CENTERS, INC
Entity Type:Organization
Organization Name:AFFILIATED COUNSELING AND PSYCHOTHERPY CENTERS, INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OFFICE MANAGER
Authorized Official - Prefix:MS
Authorized Official - First Name:MELINDA
Authorized Official - Middle Name:F
Authorized Official - Last Name:FALLS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:864-488-9710
Mailing Address - Street 1:114 N JOHNSON ST
Mailing Address - Street 2:PO BOX 8039
Mailing Address - City:GAFFNEY
Mailing Address - State:SC
Mailing Address - Zip Code:29340-3156
Mailing Address - Country:US
Mailing Address - Phone:864-488-9710
Mailing Address - Fax:
Practice Address - Street 1:114 N JOHNSON ST
Practice Address - Street 2:
Practice Address - City:GAFFNEY
Practice Address - State:SC
Practice Address - Zip Code:29340-3156
Practice Address - Country:US
Practice Address - Phone:864-488-9710
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-12-04
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QM0801XAmbulatory Health Care FacilitiesClinic/CenterMental Health (Including Community Mental Health Center)
Provider Identifiers
StateIdentifier IDID TypeIssuer
SCGP3752Medicaid
SCGP3751Medicaid
SCGP3771Medicaid
SCGP3772Medicaid
SCGP3751Medicaid
SCGP3771Medicaid