Provider Demographics
NPI:1700041597
Name:ACCESS BEHAVIORAL ASSISTANCE INC
Entity Type:Organization
Organization Name:ACCESS BEHAVIORAL ASSISTANCE INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:VICE PRESIDENT
Authorized Official - Prefix:MRS
Authorized Official - First Name:RACHEL
Authorized Official - Middle Name:BETH
Authorized Official - Last Name:PURNELL
Authorized Official - Suffix:
Authorized Official - Credentials:P LCSW
Authorized Official - Phone:910-219-1223
Mailing Address - Street 1:1703 COUNTRY CLUB RD
Mailing Address - Street 2:SUITE 304
Mailing Address - City:JACKSONVILLE
Mailing Address - State:NC
Mailing Address - Zip Code:28546-6008
Mailing Address - Country:US
Mailing Address - Phone:910-219-1223
Mailing Address - Fax:910-219-1205
Practice Address - Street 1:1703 COUNTRY CLUB RD
Practice Address - Street 2:SUITE 304
Practice Address - City:JACKSONVILLE
Practice Address - State:NC
Practice Address - Zip Code:28546-6008
Practice Address - Country:US
Practice Address - Phone:910-219-1223
Practice Address - Fax:910-219-1205
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-07-22
Last Update Date:2008-07-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251S00000XAgenciesCommunity/Behavioral Health
No251B00000XAgenciesCase Management