Provider Demographics
NPI:1982107751
Name:MCCARTHY COUNSELING SERVICES INC.
Entity Type:Organization
Organization Name:MCCARTHY COUNSELING SERVICES INC.
Other - Org Name:MCCARTHY ENTERPRISES UNLIMITED
Other - Org Type:Other Name
Authorized Official - Title/Position:CHIEF EXECUTIVE OFFICER
Authorized Official - Prefix:MR
Authorized Official - First Name:WESLEY
Authorized Official - Middle Name:ALAN
Authorized Official - Last Name:MCCARTHY
Authorized Official - Suffix:
Authorized Official - Credentials:LPC
Authorized Official - Phone:803-295-0995
Mailing Address - Street 1:388 CONNECTOR RD
Mailing Address - Street 2:
Mailing Address - City:GRANITEVILLE
Mailing Address - State:SC
Mailing Address - Zip Code:29829-3920
Mailing Address - Country:US
Mailing Address - Phone:803-295-0995
Mailing Address - Fax:
Practice Address - Street 1:3711 EXECUTIVE CENTER DR STE 101
Practice Address - Street 2:
Practice Address - City:MARTINEZ
Practice Address - State:GA
Practice Address - Zip Code:30907-0952
Practice Address - Country:US
Practice Address - Phone:803-295-0995
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2018-03-17
Last Update Date:2018-03-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GALPC005615101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessionalGroup - Single Specialty