Provider Demographics
NPI:1679955272
Name:ALCOHOL AND DRUG ABUSE COUNCIL
Entity Type:Organization
Organization Name:ALCOHOL AND DRUG ABUSE COUNCIL
Other - Org Name:ADAC
Other - Org Type:Other Name
Authorized Official - Title/Position:YOUTH COUNSELOR
Authorized Official - Prefix:MRS
Authorized Official - First Name:LINDA
Authorized Official - Middle Name:FEW
Authorized Official - Last Name:JAMES
Authorized Official - Suffix:
Authorized Official - Credentials:LCDC
Authorized Official - Phone:936-634-5753
Mailing Address - Street 1:1053 SCOTTY BEARD RD
Mailing Address - Street 2:
Mailing Address - City:LUFKIN
Mailing Address - State:TX
Mailing Address - Zip Code:75901-3186
Mailing Address - Country:US
Mailing Address - Phone:936-637-9662
Mailing Address - Fax:936-639-2638
Practice Address - Street 1:302 N RAGUET ST
Practice Address - Street 2:
Practice Address - City:LUFKIN
Practice Address - State:TX
Practice Address - Zip Code:75904-3017
Practice Address - Country:US
Practice Address - Phone:936-634-5753
Practice Address - Fax:936-639-2638
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-06-19
Last Update Date:2015-06-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX7946101YA0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)Group - Single Specialty