Provider Demographics
NPI:1851652234
Name:ATLAS SERVICES, INC.
Entity Type:Organization
Organization Name:ATLAS SERVICES, INC.
Other - Org Name:JERRY M. MOTT, M. S., LPC
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MR
Authorized Official - First Name:JERRY
Authorized Official - Middle Name:MARK
Authorized Official - Last Name:MOTT
Authorized Official - Suffix:
Authorized Official - Credentials:MS
Authorized Official - Phone:251-380-0215
Mailing Address - Street 1:1140 SHILOH CT
Mailing Address - Street 2:
Mailing Address - City:MOBILE
Mailing Address - State:AL
Mailing Address - Zip Code:36609-3069
Mailing Address - Country:US
Mailing Address - Phone:251-380-0215
Mailing Address - Fax:251-304-1113
Practice Address - Street 1:1 OFFICE PARK STE 305
Practice Address - Street 2:273 AZALEA ROAD
Practice Address - City:MOBILE
Practice Address - State:AL
Practice Address - Zip Code:36609-1970
Practice Address - Country:US
Practice Address - Phone:251-380-0215
Practice Address - Fax:251-304-1113
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2012-06-02
Last Update Date:2012-06-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AL1557101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessionalGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
AL51028546MOTOtherBLUECROSS BLUESHIELD OF ALABAMA
AL1557OtherLICENSED PROFESSIONAL COUNSELOR