Provider Demographics
NPI:1417972233
Name:INDEPENDENT COUNSELING & ASSESSMENT SERVICES, INC.
Entity Type:Organization
Organization Name:INDEPENDENT COUNSELING & ASSESSMENT SERVICES, INC.
Other - Org Name:ICAS, INC.
Other - Org Type:Doing Business As
Authorized Official - Title/Position:CFO
Authorized Official - Prefix:MS
Authorized Official - First Name:BONNIE
Authorized Official - Middle Name:M
Authorized Official - Last Name:ADKINS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:334-308-1940
Mailing Address - Street 1:1275 JAMES DR
Mailing Address - Street 2:SUITE A
Mailing Address - City:ENTERPRISE
Mailing Address - State:AL
Mailing Address - Zip Code:36330-2063
Mailing Address - Country:US
Mailing Address - Phone:334-308-1940
Mailing Address - Fax:334-308-1942
Practice Address - Street 1:1275 JAMES DR
Practice Address - Street 2:SUITE A
Practice Address - City:ENTERPRISE
Practice Address - State:AL
Practice Address - Zip Code:36330-2063
Practice Address - Country:US
Practice Address - Phone:334-308-1940
Practice Address - Fax:334-308-1942
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-07-13
Last Update Date:2022-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Not Answered101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessionalGroup - Multi-Specialty
Not Answered103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinicalGroup - Multi-Specialty
Not Answered1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinicalGroup - Multi-Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
ALK332Medicare ID - Type Unspecified