Provider Demographics
NPI:1255509394
Name:LECHRIS COUNSELING SERVICES, INC.
Entity Type:Organization
Organization Name:LECHRIS COUNSELING SERVICES, INC.
Other - Org Name:ATLANTIC HOUSE
Other - Org Type:Doing Business As
Authorized Official - Title/Position:VICE PRESIDENT
Authorized Official - Prefix:MRS
Authorized Official - First Name:SARAH
Authorized Official - Middle Name:H
Authorized Official - Last Name:SCHWARZ
Authorized Official - Suffix:
Authorized Official - Credentials:MS
Authorized Official - Phone:252-636-6105
Mailing Address - Street 1:3900 BRIDGES ST
Mailing Address - Street 2:
Mailing Address - City:MOREHEAD CITY
Mailing Address - State:NC
Mailing Address - Zip Code:28557-2916
Mailing Address - Country:US
Mailing Address - Phone:252-636-6105
Mailing Address - Fax:252-636-6109
Practice Address - Street 1:3900 BRIDGES ST
Practice Address - Street 2:
Practice Address - City:MOREHEAD CITY
Practice Address - State:NC
Practice Address - Zip Code:28557-2916
Practice Address - Country:US
Practice Address - Phone:252-636-6105
Practice Address - Fax:252-636-6109
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:LECHRIS COUNSELING SERVICES,INC.
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2008-02-12
Last Update Date:2009-01-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NCMHL-016-063251S00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251S00000XAgenciesCommunity/Behavioral Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
NC8302207Medicaid
NC8302207SMedicaid