NPI 1003069188 · live from the CMS NPI Registry
Access Therapy Services
Counselor, Addiction (Substance Use Disorder) in Lancaster, SC. National Provider Identifier 1003069188, active.
NPI record
| NPI | 1003069188 Type 2 · organization |
|---|---|
| Status | Active |
| Primary specialty | Counselor, Addiction (Substance Use Disorder) 101YA0400X |
| Practice location | 409 Arrowood Ave, Lancaster, SC 29720 |
| Practice phone | 704-813-4555 |
| Mailing address | 3140 Hwy 16 N., Suite 103, Denver, NC 28036 |
| Enumerated | November 3, 2008 |
| Last updated | November 3, 2008 |
| Authorized official | Annie Fongheiser, Owner |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Counselor, Addiction (Substance Use Disorder) primary | 101YA0400X | 945 (NC) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.