Provider Demographics
NPI:1376317776
Name:ENCOMPASS COUNSELING AND MENTAL SERVICES, LLC
Entity Type:Organization
Organization Name:ENCOMPASS COUNSELING AND MENTAL SERVICES, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:BRIKKI
Authorized Official - Middle Name:N
Authorized Official - Last Name:ROSS
Authorized Official - Suffix:
Authorized Official - Credentials:RN
Authorized Official - Phone:478-333-2735
Mailing Address - Street 1:96 TOMMY STALNAKER DR STE A
Mailing Address - Street 2:
Mailing Address - City:WARNER ROBINS
Mailing Address - State:GA
Mailing Address - Zip Code:31088-9236
Mailing Address - Country:US
Mailing Address - Phone:478-333-2735
Mailing Address - Fax:478-845-7390
Practice Address - Street 1:96 TOMMY STALNAKER DR STE A
Practice Address - Street 2:
Practice Address - City:WARNER ROBINS
Practice Address - State:GA
Practice Address - Zip Code:31088-9236
Practice Address - Country:US
Practice Address - Phone:478-333-2735
Practice Address - Fax:478-845-7390
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-11-07
Last Update Date:2023-11-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QM0801XAmbulatory Health Care FacilitiesClinic/CenterMental Health (Including Community Mental Health Center)