Provider Demographics
NPI:1629498951
Name:MEDICAL SERVICE OPTIONS INC
Entity Type:Organization
Organization Name:MEDICAL SERVICE OPTIONS INC
Other - Org Name:COMMUNITY COUNSELING AND SOCIAL SERVICES
Other - Org Type:Doing Business As
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:DR
Authorized Official - First Name:NICHOLAS
Authorized Official - Middle Name:V
Authorized Official - Last Name:LANDRY
Authorized Official - Suffix:
Authorized Official - Credentials:DO
Authorized Official - Phone:740-441-9800
Mailing Address - Street 1:1325 NORTHUP RD
Mailing Address - Street 2:
Mailing Address - City:GALLIPOLIS
Mailing Address - State:OH
Mailing Address - Zip Code:45631-8830
Mailing Address - Country:US
Mailing Address - Phone:740-645-3301
Mailing Address - Fax:740-441-9400
Practice Address - Street 1:16 N OHIO AVE
Practice Address - Street 2:
Practice Address - City:WELLSTON
Practice Address - State:OH
Practice Address - Zip Code:45692-1230
Practice Address - Country:US
Practice Address - Phone:740-441-9800
Practice Address - Fax:740-441-9400
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2014-04-25
Last Update Date:2014-09-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251S00000XAgenciesCommunity/Behavioral Health