Provider Demographics
| NPI: | 1801362553 |
|---|---|
| Name: | ESSENTIAL SOLUTIONS INC. |
| Entity type: | Organization |
| Organization Name: | ESSENTIAL SOLUTIONS INC. |
| Other - Org Name: | |
| Other - Org Type: | |
| Authorized Official - Title/Position: | SECRETARY/TREASURER |
| Authorized Official - Prefix: | MR |
| Authorized Official - First Name: | JEFF |
| Authorized Official - Middle Name: | |
| Authorized Official - Last Name: | ANDERSON |
| Authorized Official - Suffix: | |
| Authorized Official - Credentials: | |
| Authorized Official - Phone: | 606-454-1725 |
| Mailing Address - Street 1: | 125 MULLINS ADDITION DR |
| Mailing Address - Street 2: | |
| Mailing Address - City: | PIKEVILLE |
| Mailing Address - State: | KY |
| Mailing Address - Zip Code: | 41501-2907 |
| Mailing Address - Country: | US |
| Mailing Address - Phone: | 606-454-1725 |
| Mailing Address - Fax: | 606-437-0713 |
| Practice Address - Street 1: | 11105 US HIGHWAY 23 S |
| Practice Address - Street 2: | |
| Practice Address - City: | BETSY LAYNE |
| Practice Address - State: | KY |
| Practice Address - Zip Code: | 41605-9998 |
| Practice Address - Country: | US |
| Practice Address - Phone: | 606-478-2433 |
| Practice Address - Fax: | 606-478-2434 |
| EIN: | <UNAVAIL> |
| Is Organization Subpart?: | No |
| Parent Organization LBN: | |
| Parent Organization TIN: | |
| Enumeration Date: | 2018-10-21 |
| Last Update Date: | 2018-10-21 |
| Deactivation Date: | |
| Deactivation Code: | |
| Reactivation Date: |
Provider Taxonomies
| Primary? | Code | Type | Classification | Specialization | Group |
|---|---|---|---|---|---|
| Yes | 101YA0400X | Behavioral Health & Social Service Providers | Counselor | Addiction (Substance Use Disorder) | Group - Single Specialty |