Organization
ACCESS THERAPY SERVICES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. ANNIE FONGHEISER MA, MS, MAC, LCAS (OWNER)
(704) 813-4555
Entity
Organization
Contact information
Practice address
409 ARROWOOD AVE, LANCASTER, SC 29720-1503
(704) 813-4555
Mailing address
3140 HWY 16 N., SUITE 103, DENVER, NC 28036-7314
(704) 813-4555
(704) 296-5500
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
945
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
6112011
—
NC
Enumeration date
11/03/2008
Last updated
11/03/2008
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