Provider Demographics
NPI:1558071019
Name:ESSENTIAL COUNSELING SERVICES, LLC
Entity Type:Organization
Organization Name:ESSENTIAL COUNSELING SERVICES, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/CEO
Authorized Official - Prefix:MR
Authorized Official - First Name:SHAY
Authorized Official - Middle Name:
Authorized Official - Last Name:CLANSY
Authorized Official - Suffix:
Authorized Official - Credentials:LCSW
Authorized Official - Phone:334-399-0363
Mailing Address - Street 1:3760 BENCHMARK DR
Mailing Address - Street 2:
Mailing Address - City:ATLANTA
Mailing Address - State:GA
Mailing Address - Zip Code:30349-3512
Mailing Address - Country:US
Mailing Address - Phone:334-399-0363
Mailing Address - Fax:
Practice Address - Street 1:3760 BENCHMARK DR
Practice Address - Street 2:
Practice Address - City:ATLANTA
Practice Address - State:GA
Practice Address - Zip Code:30349-3512
Practice Address - Country:US
Practice Address - Phone:334-399-0363
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-11-24
Last Update Date:2022-11-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental HealthGroup - Single Specialty