Organization
ASSURED COMMUNITY SERVICES, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. LAQUANA RICHMOND LCMHC LCAS CCS (COO)
(336) 283-2699
Entity
Organization
Contact information
Practice address
8025 N POINT BLVD STE 221, WINSTON SALEM, NC 27106-3100
(336) 283-2699
(704) 818-4315
Mailing address
24 NW COURT SQ STE 206, GRAHAM, NC 27253-2861
(336) 283-2699
(704) 818-4315
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
—
—
101YA0400X
Addiction (Substance Use Disorder) Counselor
—
—
101YM0800X
Mental Health Counselor
—
—
101YP2500X
Professional Counselor
—
—
103TP2701X
Group Psychotherapy Psychologist
—
—
1041C0700X
Clinical Social Worker
—
—
106H00000X
Marriage & Family Therapist
—
—
175T00000X
Peer Specialist
—
—
207RA0401X
Addiction Medicine (Internal Medicine) Physician
—
—
2084P0800X
Psychiatry Physician
—
—
251S00000X
Community/Behavioral Health Agency
Primary
—
—
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
—
—
363A00000X
Physician Assistant
—
—
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1053925727
—
NC
Enumeration date
09/01/2020
Last updated
11/09/2021
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