Provider Demographics
NPI:1770938243
Name:ACAS COUNSELING, LLC
Entity type:Organization
Organization Name:ACAS COUNSELING, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MR
Authorized Official - First Name:ALBERT
Authorized Official - Middle Name:C
Authorized Official - Last Name:SLICKES
Authorized Official - Suffix:IV
Authorized Official - Credentials:LMHC
Authorized Official - Phone:813-777-8253
Mailing Address - Street 1:4830 WINDINGBROOK TRL
Mailing Address - Street 2:
Mailing Address - City:WESLEY CHAPEL
Mailing Address - State:FL
Mailing Address - Zip Code:33544-7482
Mailing Address - Country:US
Mailing Address - Phone:813-777-8253
Mailing Address - Fax:
Practice Address - Street 1:2718 LETAP CT UNIT 101
Practice Address - Street 2:
Practice Address - City:LAND O LAKES
Practice Address - State:FL
Practice Address - Zip Code:34638-7266
Practice Address - Country:US
Practice Address - Phone:813-777-8253
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-05-03
Last Update Date:2016-05-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLMH11023251S00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251S00000XAgenciesCommunity/Behavioral Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL006173100Medicaid