Organization
ACCESS COUNSELING SERVICES, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
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
13351
OH
251S00000X
Community/Behavioral Health Agency
Primary
13351
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0074861
ODADAS
OH
01
—
01-0693
CARF RE-CERTIFICATION
OH
01
—
13351
OHIO DEPARTMENT OF ALCOHOL AND DRUG ADDICTION SERVICES
OH
01
—
2062823
STATE OF OHIO CERTIFICATE
OH
Enumeration date
10/23/2012
Last updated
09/13/2018
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