Healthcare Provider Details

I. General information

NPI: 1457523664
Provider Name (Legal Business Name): ACCESS STRATEGIES INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 03/27/2008
Last Update Date: 03/13/2023
Certification Date: 02/09/2022
Deactivation Date:
Reactivation Date:

III. Provider practice location address

266 HUCKLEBERRY HILL DR
HELEN GA
30545-3302
US

IV. Provider business mailing address

266 HUCKLEBERRY HILL DR
HELEN GA
30545-3302
US

V. Phone/Fax

Practice location:
  • Phone: 678-517-6699
  • Fax:
Mailing address:
  • Phone: 678-517-6699
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License NumberMH3952
License Number StateFL
# 2
Primary TaxonomyN
Taxonomy Code101YP1600X
TaxonomyPastoral Counselor
License NumberORDINATION
License Number StateFL
# 3
Primary TaxonomyY
Taxonomy Code101YP2500X
TaxonomyProfessional Counselor
License NumberLPC4036
License Number StateGA

VIII. Authorized Official

Name: R JEFFREY STULL
Title or Position: PRESIDENT
Credential: PHD, DMIN
Phone: 678-517-6699