Provider Demographics
NPI:1457419285
Name:ASSOCIATED COUNSELING SERVICES, INC.
Entity Type:Organization
Organization Name:ASSOCIATED COUNSELING SERVICES, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DIRECTOR
Authorized Official - Prefix:DR
Authorized Official - First Name:LEONARD
Authorized Official - Middle Name:ANDREW
Authorized Official - Last Name:STEWARD
Authorized Official - Suffix:JR
Authorized Official - Credentials:PHD
Authorized Official - Phone:304-323-3511
Mailing Address - Street 1:PO BOX 387
Mailing Address - Street 2:
Mailing Address - City:TAZEWELL
Mailing Address - State:VA
Mailing Address - Zip Code:24651-0387
Mailing Address - Country:US
Mailing Address - Phone:304-323-3511
Mailing Address - Fax:304-324-0827
Practice Address - Street 1:118 VETERANS DR
Practice Address - Street 2:
Practice Address - City:RICHLANDS
Practice Address - State:VA
Practice Address - Zip Code:24641-2764
Practice Address - Country:US
Practice Address - Phone:304-323-3511
Practice Address - Fax:304-324-0827
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-12-05
Last Update Date:2007-09-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA0810002531103TC0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinicalGroup - Single Specialty