Provider Demographics
NPI:1689766248
Name:ASSOCIATION FOR COMMUNITY COUNSELING,INC.
Entity Type:Organization
Organization Name:ASSOCIATION FOR COMMUNITY COUNSELING,INC.
Other - Org Name:ASSOCIATION FOR COMMUNITY COUNSELING
Other - Org Type:Doing Business As
Authorized Official - Title/Position:TREASURER CHIEF FINANCIAL OFFICER
Authorized Official - Prefix:MRS
Authorized Official - First Name:HELENE
Authorized Official - Middle Name:R
Authorized Official - Last Name:SACHAROW
Authorized Official - Suffix:
Authorized Official - Credentials:CPA
Authorized Official - Phone:561-243-2857
Mailing Address - Street 1:4723 W ATLANTIC AVE
Mailing Address - Street 2:SUITE A5
Mailing Address - City:DELRAY BEACH
Mailing Address - State:FL
Mailing Address - Zip Code:33445-3895
Mailing Address - Country:US
Mailing Address - Phone:561-638-0908
Mailing Address - Fax:561-638-1115
Practice Address - Street 1:4723 W ATLANTIC AVE
Practice Address - Street 2:SUITE A5
Practice Address - City:DELRAY BEACH
Practice Address - State:FL
Practice Address - Zip Code:33445-3895
Practice Address - Country:US
Practice Address - Phone:561-638-0908
Practice Address - Fax:561-638-1115
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-09-29
Last Update Date:2007-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLPY0005198103T00000X
FLMH7411103TC1900X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes103TC1900XBehavioral Health & Social Service ProvidersPsychologistCounselingGroup - Multi-Specialty
No103T00000XBehavioral Health & Social Service ProvidersPsychologistGroup - Multi-Specialty