Provider Demographics
NPI:1003585951
Name:PECOLA COUNSELING SERVICES, LLC
Entity type:Organization
Organization Name:PECOLA COUNSELING SERVICES, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/THERAPIST
Authorized Official - Prefix:
Authorized Official - First Name:ASHLEY
Authorized Official - Middle Name:
Authorized Official - Last Name:FARRISH
Authorized Official - Suffix:
Authorized Official - Credentials:LISW-S
Authorized Official - Phone:234-678-7043
Mailing Address - Street 1:1650 W MARKET ST STE 14
Mailing Address - Street 2:
Mailing Address - City:AKRON
Mailing Address - State:OH
Mailing Address - Zip Code:44313-7033
Mailing Address - Country:US
Mailing Address - Phone:234-678-7043
Mailing Address - Fax:
Practice Address - Street 1:1650 W MARKET ST STE 14
Practice Address - Street 2:
Practice Address - City:AKRON
Practice Address - State:OH
Practice Address - Zip Code:44313-7033
Practice Address - Country:US
Practice Address - Phone:234-678-7043
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-09-13
Last Update Date:2021-09-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinicalGroup - Multi-Specialty