Provider Demographics
NPI:1124233614
Name:ACADIA COUNSELING PLLC
Entity type:Organization
Organization Name:ACADIA COUNSELING PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PSYCHOLOGIST OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:SUE
Authorized Official - Middle Name:H
Authorized Official - Last Name:KIM
Authorized Official - Suffix:
Authorized Official - Credentials:PHD
Authorized Official - Phone:603-654-2181
Mailing Address - Street 1:PO BOX 844
Mailing Address - Street 2:ONE CHALET DR., STE. 106
Mailing Address - City:WILTON
Mailing Address - State:NH
Mailing Address - Zip Code:03086-0844
Mailing Address - Country:US
Mailing Address - Phone:603-654-2181
Mailing Address - Fax:603-654-2182
Practice Address - Street 1:ONE CHALET DR., STE. 106
Practice Address - Street 2:THE SUMMIT EXECUTIVE OFFICES
Practice Address - City:WILTON
Practice Address - State:NH
Practice Address - Zip Code:03086-0844
Practice Address - Country:US
Practice Address - Phone:603-654-2181
Practice Address - Fax:603-654-2182
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-05-10
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NH955103T00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes103T00000XBehavioral Health & Social Service ProvidersPsychologistGroup - Single Specialty