Provider Demographics
NPI:1538113642
Name:AK COUNSELING & CONSULTING, INC.
Entity Type:Organization
Organization Name:AK COUNSELING & CONSULTING, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:VICE-PRESIDENT / PSYCHOLOGIST
Authorized Official - Prefix:DR
Authorized Official - First Name:JAMES
Authorized Official - Middle Name:KIP
Authorized Official - Last Name:MATTHEWS
Authorized Official - Suffix:
Authorized Official - Credentials:PHD
Authorized Official - Phone:706-613-5290
Mailing Address - Street 1:191 E BROAD ST
Mailing Address - Street 2:SUITE 314
Mailing Address - City:ATHENS
Mailing Address - State:GA
Mailing Address - Zip Code:30601-2847
Mailing Address - Country:US
Mailing Address - Phone:706-613-5290
Mailing Address - Fax:706-613-5291
Practice Address - Street 1:191 E BROAD ST
Practice Address - Street 2:SUITE 314
Practice Address - City:ATHENS
Practice Address - State:GA
Practice Address - Zip Code:30601-2847
Practice Address - Country:US
Practice Address - Phone:706-613-5290
Practice Address - Fax:706-613-5291
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-05-22
Last Update Date:2008-05-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes103TC1900XBehavioral Health & Social Service ProvidersPsychologistCounselingGroup - Single Specialty