Healthcare Provider Details

I. General information

NPI: 1447705587
Provider Name (Legal Business Name): ARIZONA COUNSELING & CONSULTATION SERVICES
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/18/2016
Last Update Date: 07/10/2024
Certification Date: 07/10/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3035 W BROAD ST SUITE 101
COLUMBUS OH
43204-2653
US

IV. Provider business mailing address

3035 W BROAD ST SUITE 101
COLUMBUS OH
43204-2653
US

V. Phone/Fax

Practice location:
  • Phone: 614-272-7005
  • Fax: 614-272-7008
Mailing address:
  • Phone: 614-272-7005
  • Fax: 614-272-7008

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QR0405X
TaxonomySubstance Use Disorder Rehabilitation Clinic/Center
License Number
License Number StateNULL
# 2
Primary TaxonomyN
Taxonomy Code251S00000X
TaxonomyCommunity/Behavioral Health Agency
License Number
License Number StateOH

VIII. Authorized Official

Name: MS. DEBORAH POUNDS
Title or Position: CEO
Credential: LPC, LICDC-CS
Phone: 614-272-4044