36D2102147 CLIA NUMBER - ACCESS COUNSELING SERVICES

Laboratory Demographics

CLIA Number: 36D2102147

Facility Name: ACCESS COUNSELING SERVICES

Facility Address:
4464 S DIXIE HWY
MIDDLETOWN, OH
ZIP 45005
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Facility Phone Number: 513 649-8008

Facility Type: Practitioner Other

Certificate Type: Waiver

NPI Number: 1073884524

Taxonomy: 251S00000X - Community/Behavioral Health
A private or public agency usually under local government jurisdiction, responsible for assuring the delivery of community based mental health, intellectual disabilities, substance abuse and/or behavioral health services to individuals with those disabilities. Services may range from companion care, respite, transportation, community integration, crisis intervention and stabilization, supported employment, day support, prevocational services, residential support, therapeutic and supportive consultation, environmental modifications, intensive in-home therapy and day treatment, in addition to traditional mental health and behavioral treatment.

CLIA Record

Field Name	Field Value
CLIA Number	36D2102147
LAB Type	Practitioner Other
Facility Name	ACCESS COUNSELING SERVICES
Street	4464 S DIXIE HWY
City	MIDDLETOWN
State	OH
ZIP	45005
Phone	513 649-8008
CertificateType	4
CertificateEffectiveDate	9/17/2023
CertificateExpirationDate	9/16/2025
FacilityType	Waiver

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This page was last updated on: 4/23/2024