Provider Demographics
NPI:1326495342
Name:ARIZONA COUNSELING & CONSULTATION SERVICES
Entity Type:Organization
Organization Name:ARIZONA COUNSELING & CONSULTATION SERVICES
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:DEBORAH
Authorized Official - Middle Name:MARLENE
Authorized Official - Last Name:POUNDS
Authorized Official - Suffix:
Authorized Official - Credentials:LPC, LICDC-CS
Authorized Official - Phone:614-272-7005
Mailing Address - Street 1:3035 W BROAD ST STE 101
Mailing Address - Street 2:
Mailing Address - City:COLUMBUS
Mailing Address - State:OH
Mailing Address - Zip Code:43204-2653
Mailing Address - Country:US
Mailing Address - Phone:614-272-7005
Mailing Address - Fax:613-272-7008
Practice Address - Street 1:3035 W BROAD ST STE 101
Practice Address - Street 2:
Practice Address - City:COLUMBUS
Practice Address - State:OH
Practice Address - Zip Code:43204-2653
Practice Address - Country:US
Practice Address - Phone:614-272-7005
Practice Address - Fax:613-272-7008
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-05-19
Last Update Date:2016-05-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251S00000XAgenciesCommunity/Behavioral Health