Provider Demographics
NPI:1740487263
Name:ACTION COUNSELING AND CONSULTING
Entity type:Organization
Organization Name:ACTION COUNSELING AND CONSULTING
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:EXCUTIVE DIRECTOR
Authorized Official - Prefix:
Authorized Official - First Name:LINDA
Authorized Official - Middle Name:L
Authorized Official - Last Name:WELLS
Authorized Official - Suffix:
Authorized Official - Credentials:PHD
Authorized Official - Phone:423-339-2713
Mailing Address - Street 1:4023 HIGHWAY 411 UNIT B
Mailing Address - Street 2:
Mailing Address - City:MADISONVILLE
Mailing Address - State:TN
Mailing Address - Zip Code:37354-1535
Mailing Address - Country:US
Mailing Address - Phone:423-442-1954
Mailing Address - Fax:423-442-1931
Practice Address - Street 1:4023 HIGHWAY 411 UNIT B
Practice Address - Street 2:
Practice Address - City:MADISONVILLE
Practice Address - State:TN
Practice Address - Zip Code:37354-1535
Practice Address - Country:US
Practice Address - Phone:423-442-1954
Practice Address - Fax:423-442-1931
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-06-28
Last Update Date:2008-06-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TN000000502101YA0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)Group - Multi-Specialty