MEDICARE: ACCESS COMMUNITY REHABILITATIVE BEHAVIORAL HEALTH SERVICES

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	251S00000X	Community/Behavioral Health Agency

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1659688091
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	ACCESS COMMUNITY REHABILITATIVE BEHAVIORAL HEALTH SERVICES

Provider Business Mailing Address
First Line	:	106 FABRISTER LN
Second Line	:	SUITE D
City	:	LEXINGTON
State	:	SC
Zip	:	29072-1911
Country	:	US
Telephone Number	:	803-447-0001
Fax Number	:	866-576-2589

Provider Business Practice Location Address
First Line	:	106 FABRISTER LN
Second Line	:	SUITE D
City	:	LEXINGTON
State	:	SC
Zip	:	29072-1911
Country	:	US
Telephone Number	:	803-447-0001
Fax Number	:	866-576-2589

Authorized Official
Title or Position	:	PROGRAM DIRECTOR
Name	:	JEMBRALYN CURLEE JONES
Credential	:	MA, LPCI
Telephone Number	:	803-447-0001

Provider Enumeration Date	:	09/07/2010
Last Update Date	:	06/15/2011

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Directions to “ACCESS COMMUNITY REHABILITATIVE BEHAVIORAL HEALTH SERVICES ” Practice Location

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