Provider Demographics
NPI:1609469741
Name:ACCESS GRANTED COUNSELING AND CONSULTING
Entity Type:Organization
Organization Name:ACCESS GRANTED COUNSELING AND CONSULTING
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/MANAGER
Authorized Official - Prefix:
Authorized Official - First Name:VICTORIA
Authorized Official - Middle Name:D
Authorized Official - Last Name:GRANT
Authorized Official - Suffix:
Authorized Official - Credentials:MS, LPC, NCC
Authorized Official - Phone:985-351-8604
Mailing Address - Street 1:2701 AIRLINE DR STE K
Mailing Address - Street 2:
Mailing Address - City:METAIRIE
Mailing Address - State:LA
Mailing Address - Zip Code:70001-7213
Mailing Address - Country:US
Mailing Address - Phone:985-351-8604
Mailing Address - Fax:
Practice Address - Street 1:13170 DUTCHTOWN POINT AVE APT 2524
Practice Address - Street 2:
Practice Address - City:GONZALES
Practice Address - State:LA
Practice Address - Zip Code:70737-0108
Practice Address - Country:US
Practice Address - Phone:985-351-8604
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-02-19
Last Update Date:2021-02-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental HealthGroup - Single Specialty