Provider Demographics
NPI:1821517772
Name:GENERATIONS COMMUNITY SERVICES LLC
Entity Type:Organization
Organization Name:GENERATIONS COMMUNITY SERVICES LLC
Other - Org Name:ACCESS TO COUNSELING
Other - Org Type:Doing Business As
Authorized Official - Title/Position:MANAGE MEMBER
Authorized Official - Prefix:MR
Authorized Official - First Name:JAMES
Authorized Official - Middle Name:
Authorized Official - Last Name:HALE
Authorized Official - Suffix:
Authorized Official - Credentials:MS, LPC, LADC-MH
Authorized Official - Phone:404-242-2242
Mailing Address - Street 1:3035 NW 63RD ST STE 200
Mailing Address - Street 2:
Mailing Address - City:OKLAHOMA CITY
Mailing Address - State:OK
Mailing Address - Zip Code:73116-3606
Mailing Address - Country:US
Mailing Address - Phone:405-242-2242
Mailing Address - Fax:888-688-7013
Practice Address - Street 1:3035 NW 63RD ST STE 200
Practice Address - Street 2:
Practice Address - City:OKLAHOMA CITY
Practice Address - State:OK
Practice Address - Zip Code:73116-3606
Practice Address - Country:US
Practice Address - Phone:405-242-2242
Practice Address - Fax:888-688-7013
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2017-09-12
Last Update Date:2022-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QM0801XAmbulatory Health Care FacilitiesClinic/CenterMental Health (Including Community Mental Health Center)