Provider Demographics
NPI:1831321660
Name:FIRST COUNSELING SERVICES INC
Entity Type:Organization
Organization Name:FIRST COUNSELING SERVICES INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:SECRETARY
Authorized Official - Prefix:MRS
Authorized Official - First Name:DENISE
Authorized Official - Middle Name:
Authorized Official - Last Name:PRATT
Authorized Official - Suffix:
Authorized Official - Credentials:PHARMACIST
Authorized Official - Phone:423-883-7831
Mailing Address - Street 1:6888 GOODMAN RD
Mailing Address - Street 2:SUITE 123
Mailing Address - City:OLIVE BRANCH
Mailing Address - State:MS
Mailing Address - Zip Code:38654-8759
Mailing Address - Country:US
Mailing Address - Phone:662-893-6300
Mailing Address - Fax:662-893-6322
Practice Address - Street 1:6888 GOODMAN RD
Practice Address - Street 2:SUITE 123
Practice Address - City:OLIVE BRANCH
Practice Address - State:MS
Practice Address - Zip Code:38654-8759
Practice Address - Country:US
Practice Address - Phone:662-893-6300
Practice Address - Fax:662-893-6322
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-08-12
Last Update Date:2009-09-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatryGroup - Single Specialty