Provider Demographics
NPI:1669236634
Name:ACCESS COUNSELING SOLUTIONS, LLC
Entity type:Organization
Organization Name:ACCESS COUNSELING SOLUTIONS, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:LPC
Authorized Official - Prefix:
Authorized Official - First Name:SHIRLEY
Authorized Official - Middle Name:D
Authorized Official - Last Name:ANKROM-SMITH
Authorized Official - Suffix:
Authorized Official - Credentials:MS
Authorized Official - Phone:417-839-1779
Mailing Address - Street 1:PO BOX 189
Mailing Address - Street 2:
Mailing Address - City:WEBB CITY
Mailing Address - State:MO
Mailing Address - Zip Code:64870-0189
Mailing Address - Country:US
Mailing Address - Phone:417-839-1779
Mailing Address - Fax:888-839-9210
Practice Address - Street 1:37 S MAIN ST
Practice Address - Street 2:
Practice Address - City:WEBB CITY
Practice Address - State:MO
Practice Address - Zip Code:64870-2378
Practice Address - Country:US
Practice Address - Phone:417-839-1779
Practice Address - Fax:888-839-9210
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-02-09
Last Update Date:2024-02-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessionalGroup - Multi-Specialty
No101YM0800XBehavioral Health & Social Service ProvidersCounselorMental HealthGroup - Multi-Specialty
No103T00000XBehavioral Health & Social Service ProvidersPsychologistGroup - Multi-Specialty
No104100000XBehavioral Health & Social Service ProvidersSocial WorkerGroup - Multi-Specialty