Provider Demographics
NPI:1023854742
Name:ACCESSIBLE PSYCHOLOGICAL GROUP
Entity type:Organization
Organization Name:ACCESSIBLE PSYCHOLOGICAL GROUP
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ADMINISTRATOR
Authorized Official - Prefix:
Authorized Official - First Name:AUDREY
Authorized Official - Middle Name:
Authorized Official - Last Name:PRICE
Authorized Official - Suffix:
Authorized Official - Credentials:PHD-C
Authorized Official - Phone:615-578-7937
Mailing Address - Street 1:4408 PENNSYLVANIA ST
Mailing Address - Street 2:
Mailing Address - City:DETROIT
Mailing Address - State:MI
Mailing Address - Zip Code:48214-1435
Mailing Address - Country:US
Mailing Address - Phone:615-578-7937
Mailing Address - Fax:
Practice Address - Street 1:4408 PENNSYLVANIA ST
Practice Address - Street 2:
Practice Address - City:DETROIT
Practice Address - State:MI
Practice Address - Zip Code:48214-1435
Practice Address - Country:US
Practice Address - Phone:615-578-7937
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-07-02
Last Update Date:2024-07-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes104100000XBehavioral Health & Social Service ProvidersSocial WorkerGroup - Single Specialty