Provider Demographics
NPI:1720434939
Name:ASPIRE COUNSELING AND CONSULTING SERVICES
Entity Type:Organization
Organization Name:ASPIRE COUNSELING AND CONSULTING SERVICES
Other - Org Name:SOCIAL WORK USA
Other - Org Type:Doing Business As
Authorized Official - Title/Position:CLINICAL SOCIAL WORKER
Authorized Official - Prefix:
Authorized Official - First Name:CHOYA
Authorized Official - Middle Name:REGINALD
Authorized Official - Last Name:WISE
Authorized Official - Suffix:
Authorized Official - Credentials:LCSW
Authorized Official - Phone:256-651-6562
Mailing Address - Street 1:129 LAUREL OAK RD
Mailing Address - Street 2:
Mailing Address - City:HUNTSVILLE
Mailing Address - State:AL
Mailing Address - Zip Code:35811-9073
Mailing Address - Country:US
Mailing Address - Phone:256-651-6562
Mailing Address - Fax:
Practice Address - Street 1:1101 MCMURTRIE DR NW
Practice Address - Street 2:
Practice Address - City:HUNTSVILLE
Practice Address - State:AL
Practice Address - Zip Code:35806-2469
Practice Address - Country:US
Practice Address - Phone:256-434-1246
Practice Address - Fax:888-502-0641
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-05-05
Last Update Date:2016-05-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AL2305C251S00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251S00000XAgenciesCommunity/Behavioral Health