Provider Demographics
NPI:1215427976
Name:OPTIMUM COUNSELING SERVICES LLC
Entity type:Organization
Organization Name:OPTIMUM COUNSELING SERVICES LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:LPCC, OWNER
Authorized Official - Prefix:
Authorized Official - First Name:JEFFREY
Authorized Official - Middle Name:
Authorized Official - Last Name:CRAVEN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:833-678-4275
Mailing Address - Street 1:8080 BECKETT CENTER DR STE 123
Mailing Address - Street 2:
Mailing Address - City:WEST CHESTER
Mailing Address - State:OH
Mailing Address - Zip Code:45069-5046
Mailing Address - Country:US
Mailing Address - Phone:833-678-4275
Mailing Address - Fax:833-678-4275
Practice Address - Street 1:8080 BECKETT CENTER DR STE 123
Practice Address - Street 2:
Practice Address - City:WEST CHESTER
Practice Address - State:OH
Practice Address - Zip Code:45069-5046
Practice Address - Country:US
Practice Address - Phone:833-678-4275
Practice Address - Fax:833-678-4275
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2018-05-17
Last Update Date:2018-05-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental HealthGroup - Multi-Specialty