Provider Demographics
NPI:1982006706
Name:POLLARD COUNSELING SERVICES LLC
Entity Type:Organization
Organization Name:POLLARD COUNSELING SERVICES LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/PROVIDER
Authorized Official - Prefix:MRS
Authorized Official - First Name:MELODY
Authorized Official - Middle Name:J
Authorized Official - Last Name:POLLARD
Authorized Official - Suffix:
Authorized Official - Credentials:LPCC
Authorized Official - Phone:270-384-1198
Mailing Address - Street 1:203 BURKESVILLE ST
Mailing Address - Street 2:SUITE 111
Mailing Address - City:COLUMBIA
Mailing Address - State:KY
Mailing Address - Zip Code:42728-1900
Mailing Address - Country:US
Mailing Address - Phone:270-384-1198
Mailing Address - Fax:270-384-1195
Practice Address - Street 1:203 BURKESVILLE ST
Practice Address - Street 2:SUITE 111
Practice Address - City:COLUMBIA
Practice Address - State:KY
Practice Address - Zip Code:42728-1900
Practice Address - Country:US
Practice Address - Phone:270-384-1198
Practice Address - Fax:270-384-1195
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2014-09-24
Last Update Date:2014-09-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KY0453101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental HealthGroup - Multi-Specialty