Provider Demographics
NPI:1871076034
Name:THERAPEUTIC ASSESSMENTS AND COUNSELING SERVICES, PLLC
Entity type:Organization
Organization Name:THERAPEUTIC ASSESSMENTS AND COUNSELING SERVICES, PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:ERIN
Authorized Official - Middle Name:MACSENE
Authorized Official - Last Name:JOHNSON
Authorized Official - Suffix:
Authorized Official - Credentials:MSW, CSOTS, LCSW
Authorized Official - Phone:910-689-5777
Mailing Address - Street 1:1089 DELANCY DR
Mailing Address - Street 2:
Mailing Address - City:HOPE MILLS
Mailing Address - State:NC
Mailing Address - Zip Code:28348-9706
Mailing Address - Country:US
Mailing Address - Phone:910-689-5777
Mailing Address - Fax:
Practice Address - Street 1:1089 DELANCY DR
Practice Address - Street 2:
Practice Address - City:HOPE MILLS
Practice Address - State:NC
Practice Address - Zip Code:28348-9706
Practice Address - Country:US
Practice Address - Phone:910-689-5777
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2018-09-12
Last Update Date:2018-09-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes251S00000XAgenciesCommunity/Behavioral Health
No1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinicalGroup - Multi-Specialty