Provider Demographics
NPI:1578812756
Name:ACCESS COUNSELING SERVICES, LLC
Entity Type:Organization
Organization Name:ACCESS COUNSELING SERVICES, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MR
Authorized Official - First Name:CLARENCE
Authorized Official - Middle Name:D
Authorized Official - Last Name:MERCKERSON
Authorized Official - Suffix:
Authorized Official - Credentials:LPC
Authorized Official - Phone:334-322-7212
Mailing Address - Street 1:P O BOX 201416
Mailing Address - Street 2:
Mailing Address - City:MONTGOMERY
Mailing Address - State:AL
Mailing Address - Zip Code:36120
Mailing Address - Country:US
Mailing Address - Phone:334-322-7212
Mailing Address - Fax:
Practice Address - Street 1:331 ADLER DRIVE
Practice Address - Street 2:
Practice Address - City:MONTGOMERY
Practice Address - State:AL
Practice Address - Zip Code:36116
Practice Address - Country:US
Practice Address - Phone:334-322-7212
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2012-09-05
Last Update Date:2012-09-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251S00000XAgenciesCommunity/Behavioral Health