Provider Demographics
NPI:1558755025
Name:ERS SERVICES, INC
Entity Type:Organization
Organization Name:ERS SERVICES, INC
Other - Org Name:ERS, INC
Other - Org Type:Doing Business As
Authorized Official - Title/Position:CLINICIAN
Authorized Official - Prefix:
Authorized Official - First Name:WANDA
Authorized Official - Middle Name:
Authorized Official - Last Name:WILLIAMS
Authorized Official - Suffix:
Authorized Official - Credentials:LCAS
Authorized Official - Phone:855-377-5436
Mailing Address - Street 1:327 N QUEEN ST STE 110
Mailing Address - Street 2:
Mailing Address - City:KINSTON
Mailing Address - State:NC
Mailing Address - Zip Code:28501-4985
Mailing Address - Country:US
Mailing Address - Phone:855-377-5436
Mailing Address - Fax:252-523-1685
Practice Address - Street 1:327 N QUEEN ST STE 110
Practice Address - Street 2:
Practice Address - City:KINSTON
Practice Address - State:NC
Practice Address - Zip Code:28501-4985
Practice Address - Country:US
Practice Address - Phone:855-377-5436
Practice Address - Fax:252-523-1685
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-03-23
Last Update Date:2015-03-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC780101YA0400X
101YM0800X, 101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)Group - Single Specialty
No101YM0800XBehavioral Health & Social Service ProvidersCounselorMental HealthGroup - Single Specialty
No101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessionalGroup - Single Specialty