Provider Demographics
NPI:1831519883
Name:ALTERNATIVE COUNSELING SERVICES, INC
Entity type:Organization
Organization Name:ALTERNATIVE COUNSELING SERVICES, INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:COUNSELOR
Authorized Official - Prefix:
Authorized Official - First Name:DEBORAH
Authorized Official - Middle Name:ANN
Authorized Official - Last Name:ARCH-BENNETT
Authorized Official - Suffix:
Authorized Official - Credentials:CASAC
Authorized Official - Phone:631-283-4440
Mailing Address - Street 1:291 HAMPTON RD
Mailing Address - Street 2:
Mailing Address - City:SOUTHAMPTON
Mailing Address - State:NY
Mailing Address - Zip Code:11968-5029
Mailing Address - Country:US
Mailing Address - Phone:631-283-4440
Mailing Address - Fax:631-283-4456
Practice Address - Street 1:291 HAMPTON RD
Practice Address - Street 2:
Practice Address - City:SOUTHAMPTON
Practice Address - State:NY
Practice Address - Zip Code:11968-5029
Practice Address - Country:US
Practice Address - Phone:631-283-4440
Practice Address - Fax:631-283-4456
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2014-04-17
Last Update Date:2014-04-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY25039251S00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251S00000XAgenciesCommunity/Behavioral Health