Organization
ACCESS COUNSELING SERVICES LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. DEANNA L PROCTOR (EXECUTIVE DIRECTOR/CEO)
(513) 649-8008
Entity
Organization
Contact information
Practice address
4464 S DIXIE HWY, MIDDLETOWN, OH 45005-5464
(513) 649-8008
(513) 649-8004
Mailing address
4464 S DIXIE HWY, MIDDLETOWN, OH 45005-5464
(513) 649-8008
(513) 649-8004
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
000000
OH
101YM0800X
Mental Health Counselor
000000
OH
251S00000X
Community/Behavioral Health Agency
Primary
—
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0074946
MEDICAID ODMH GROUP
OH
01
—
01-0693
CARF RE-CERTIFICATION STATE
OH
01
—
2062823
STATE OF OHIO CERTIFICATE
OH
Enumeration date
01/14/2012
Last updated
09/13/2018
Update your record
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