Provider Demographics
NPI:1457523664
Name:ACCESS STRATEGIES INC
Entity Type:Organization
Organization Name:ACCESS STRATEGIES INC
Other - Org Name:ACCESS CHRISTIAN COUNSELING INC
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:R JEFFREY
Authorized Official - Middle Name:
Authorized Official - Last Name:STULL
Authorized Official - Suffix:
Authorized Official - Credentials:PHD, DMIN
Authorized Official - Phone:678-517-6699
Mailing Address - Street 1:266 HUCKLEBERRY HILL DR
Mailing Address - Street 2:
Mailing Address - City:HELEN
Mailing Address - State:GA
Mailing Address - Zip Code:30545-3302
Mailing Address - Country:US
Mailing Address - Phone:678-517-6699
Mailing Address - Fax:
Practice Address - Street 1:266 HUCKLEBERRY HILL DR
Practice Address - Street 2:
Practice Address - City:HELEN
Practice Address - State:GA
Practice Address - Zip Code:30545-3302
Practice Address - Country:US
Practice Address - Phone:678-517-6699
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-03-27
Last Update Date:2023-03-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLMH3952101YM0800X
FLORDINATION101YP1600X
GALPC4036101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessionalGroup - Single Specialty
No101YM0800XBehavioral Health & Social Service ProvidersCounselorMental HealthGroup - Single Specialty
No101YP1600XBehavioral Health & Social Service ProvidersCounselorPastoralGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
GA110074047AMedicaid