Provider Demographics
NPI:1063751972
Name:PERSPECTIVES COUNSELING SERVICES LLC
Entity type:Organization
Organization Name:PERSPECTIVES COUNSELING SERVICES LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT/CLINICIAN
Authorized Official - Prefix:
Authorized Official - First Name:DEBRA
Authorized Official - Middle Name:KAY
Authorized Official - Last Name:REICHARD
Authorized Official - Suffix:
Authorized Official - Credentials:LISW
Authorized Official - Phone:419-897-5518
Mailing Address - Street 1:2340 DETROIT AVE
Mailing Address - Street 2:B2
Mailing Address - City:MAUMEE
Mailing Address - State:OH
Mailing Address - Zip Code:43537-3766
Mailing Address - Country:US
Mailing Address - Phone:419-897-5518
Mailing Address - Fax:419-382-3682
Practice Address - Street 1:2340 DETROIT AVE
Practice Address - Street 2:B2
Practice Address - City:MAUMEE
Practice Address - State:OH
Practice Address - Zip Code:43537-3766
Practice Address - Country:US
Practice Address - Phone:419-897-5518
Practice Address - Fax:419-382-3682
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2013-02-13
Last Update Date:2013-02-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OHI00045001041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinicalGroup - Single Specialty