Provider Demographics
NPI:1518274778
Name:ABLE COUNSELING SERVICES, LLC
Entity Type:Organization
Organization Name:ABLE COUNSELING SERVICES, LLC
Other - Org Name:ACHIEVE BALANCE THROUGH LIFE ENRICHMENT COUNSELING SERVICES, LLC
Other - Org Type:Other Name
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MR
Authorized Official - First Name:DARRETT
Authorized Official - Middle Name:JEROME
Authorized Official - Last Name:BURR
Authorized Official - Suffix:
Authorized Official - Credentials:LMHC, S-PSB
Authorized Official - Phone:206-458-2556
Mailing Address - Street 1:700 NW 42ND ST #201
Mailing Address - Street 2:
Mailing Address - City:SEATTLE
Mailing Address - State:WA
Mailing Address - Zip Code:98107
Mailing Address - Country:US
Mailing Address - Phone:206-458-2556
Mailing Address - Fax:
Practice Address - Street 1:700 NW 42ND ST
Practice Address - Street 2:SUITE 435
Practice Address - City:SEATTLE
Practice Address - State:WA
Practice Address - Zip Code:98107
Practice Address - Country:US
Practice Address - Phone:206-458-2556
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-09-09
Last Update Date:2018-03-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WALH60237239251S00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251S00000XAgenciesCommunity/Behavioral Health