Healthcare Provider Details

I. General information

NPI: 1558755025
Provider Name (Legal Business Name): ERS SERVICES, INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 03/23/2015
Last Update Date: 03/24/2015
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

327 N QUEEN ST STE 110
KINSTON NC
28501-4985
US

IV. Provider business mailing address

327 N QUEEN ST STE 110
KINSTON NC
28501-4985
US

V. Phone/Fax

Practice location:
  • Phone: 855-377-5436
  • Fax: 252-523-1685
Mailing address:
  • Phone: 855-377-5436
  • Fax: 252-523-1685

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YA0400X
TaxonomyAddiction (Substance Use Disorder) Counselor
License Number780
License Number StateNC
# 2
Primary TaxonomyN
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code101YP2500X
TaxonomyProfessional Counselor
License Number
License Number State

VIII. Authorized Official

Name: WANDA WILLIAMS
Title or Position: CLINICIAN
Credential: LCAS
Phone: 855-377-5436