Provider Demographics
NPI:1710214937
Name:PROFESSIONAL COUNSELING SPECIALTIES INC
Entity Type:Organization
Organization Name:PROFESSIONAL COUNSELING SPECIALTIES INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:SANDRA
Authorized Official - Middle Name:
Authorized Official - Last Name:ARMER
Authorized Official - Suffix:
Authorized Official - Credentials:LCSW
Authorized Official - Phone:337-528-6969
Mailing Address - Street 1:PO BOX 2859
Mailing Address - Street 2:
Mailing Address - City:SULPHUR
Mailing Address - State:LA
Mailing Address - Zip Code:70664-2859
Mailing Address - Country:US
Mailing Address - Phone:337-528-6969
Mailing Address - Fax:337-528-6970
Practice Address - Street 1:700 1ST AVE
Practice Address - Street 2:
Practice Address - City:SULPHUR
Practice Address - State:LA
Practice Address - Zip Code:70663-3423
Practice Address - Country:US
Practice Address - Phone:337-528-6969
Practice Address - Fax:337-528-6970
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-11-09
Last Update Date:2009-11-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinicalGroup - Single Specialty