Provider Demographics
NPI:1649268095
Name:PERSPECTIVES COUNSELING SERVICES, LLC
Entity type:Organization
Organization Name:PERSPECTIVES COUNSELING SERVICES, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:EXECUTIVE DIRECTOR
Authorized Official - Prefix:DR
Authorized Official - First Name:JACQUELYN
Authorized Official - Middle Name:
Authorized Official - Last Name:ST. GERMAINE
Authorized Official - Suffix:
Authorized Official - Credentials:PHD
Authorized Official - Phone:520-628-4500
Mailing Address - Street 1:380 E FORT LOWELL RD
Mailing Address - Street 2:#122
Mailing Address - City:TUCSON
Mailing Address - State:AZ
Mailing Address - Zip Code:85705-3985
Mailing Address - Country:US
Mailing Address - Phone:520-628-4500
Mailing Address - Fax:520-531-1095
Practice Address - Street 1:380 E FORT LOWELL RD
Practice Address - Street 2:#122
Practice Address - City:TUCSON
Practice Address - State:AZ
Practice Address - Zip Code:85705-3985
Practice Address - Country:US
Practice Address - Phone:520-628-4500
Practice Address - Fax:520-531-1095
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2005-10-10
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZBH2413101YA0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)Group - Single Specialty