# ANDERSON CHEROKEE COMMUNITY ENRICHMENT SERVICES

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- **Entity:** Organization
- **Status:** Active
- **Other names:** ACCESS
- **Organization subpart:** No

## Provider details

- **NPI number:** 1265560767
- **Authorized official:** DIANNA STROM (REIMBURSEMENT COORDINATOR)
- **Authorized official phone:** (903) 589-9000

## Contact information

- **Practice address:** 1011 COLLEGE AVE, JACKSONVILLE, TX 75766
- **Practice address phone:** (903) 589-9000
- **Practice address fax:** (903) 586-9200
- **Mailing address:** 5656 N JACKSON ST, JACKSONVILLE, TX 75766-9641
- **Mailing address phone:** (903) 589-9000
- **Mailing address fax:** (903) 586-9200

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 101Y00000X | Counselor | 12741 | TX | — |
| 101Y00000X | Counselor | 14498 | TX | — |
| 101Y00000X | Counselor | 17029 | TX | — |
| 171M00000X | Case Manager/Care Coordinator | — | NULL | Yes |
| 171M00000X | Case Manager/Care Coordinator | — | — | Yes |

## Other

- **Enumeration date:** 02/28/2007
- **Last updated:** 07/24/2018

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 096107001 | — | TX |