Provider Demographics
NPI:1841752367
Name:ACCESS COUNSELING SERVICES, PLLC
Entity Type:Organization
Organization Name:ACCESS COUNSELING SERVICES, PLLC
Other - Org Name:ACCESS COUNSELING SERVICES, PLLC
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:NEKISHA
Authorized Official - Middle Name:
Authorized Official - Last Name:WILLIAMS
Authorized Official - Suffix:
Authorized Official - Credentials:LPCS, CCS
Authorized Official - Phone:252-915-8966
Mailing Address - Street 1:804 S GARNETT ST STE A-1
Mailing Address - Street 2:
Mailing Address - City:HENDERSON
Mailing Address - State:NC
Mailing Address - Zip Code:27536-4571
Mailing Address - Country:US
Mailing Address - Phone:252-915-8966
Mailing Address - Fax:
Practice Address - Street 1:804 S GARNETT ST STE A-1
Practice Address - Street 2:
Practice Address - City:HENDERSON
Practice Address - State:NC
Practice Address - Zip Code:27536-4571
Practice Address - Country:US
Practice Address - Phone:252-915-8966
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-04-03
Last Update Date:2019-04-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes103TC1900XBehavioral Health & Social Service ProvidersPsychologistCounselingGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
NC1104157700OtherNPI