Provider Demographics
NPI:1700325685
Name:APPLIED COUNSELING AND CONSULTING SERVICES
Entity type:Organization
Organization Name:APPLIED COUNSELING AND CONSULTING SERVICES
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MR
Authorized Official - First Name:DAVID
Authorized Official - Middle Name:TIMOTHY
Authorized Official - Last Name:LEAMER
Authorized Official - Suffix:
Authorized Official - Credentials:MA, LPC
Authorized Official - Phone:610-406-8158
Mailing Address - Street 1:3025 MAIN ST
Mailing Address - Street 2:BOX 231
Mailing Address - City:MORGANTOWN
Mailing Address - State:PA
Mailing Address - Zip Code:19543-7744
Mailing Address - Country:US
Mailing Address - Phone:610-406-8158
Mailing Address - Fax:
Practice Address - Street 1:3025 MAIN ST
Practice Address - Street 2:BOX 231
Practice Address - City:MORGANTOWN
Practice Address - State:PA
Practice Address - Zip Code:19543-7744
Practice Address - Country:US
Practice Address - Phone:610-406-8158
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2017-02-13
Last Update Date:2017-02-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAPC003134101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessionalGroup - Multi-Specialty