Provider Demographics
NPI:1629705918
Name:A & C ONESTOP EDUCATIONAL SERVICES
Entity Type:Organization
Organization Name:A & C ONESTOP EDUCATIONAL SERVICES
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:THERAPIST/OWNER
Authorized Official - Prefix:
Authorized Official - First Name:CORDIA
Authorized Official - Middle Name:COLEMAN
Authorized Official - Last Name:LEE
Authorized Official - Suffix:
Authorized Official - Credentials:ALC
Authorized Official - Phone:251-359-1904
Mailing Address - Street 1:213 ADAMS ST
Mailing Address - Street 2:
Mailing Address - City:ATMORE
Mailing Address - State:AL
Mailing Address - Zip Code:36502-1401
Mailing Address - Country:US
Mailing Address - Phone:251-359-1904
Mailing Address - Fax:
Practice Address - Street 1:213 ADAMS ST
Practice Address - Street 2:
Practice Address - City:ATMORE
Practice Address - State:AL
Practice Address - Zip Code:36502-1401
Practice Address - Country:US
Practice Address - Phone:251-359-1904
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-08-05
Last Update Date:2022-08-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251S00000XAgenciesCommunity/Behavioral Health
No251B00000XAgenciesCase Management
Provider Identifiers
StateIdentifier IDID TypeIssuer
AL251S00000XMedicaid
AL251B00000XMedicaid