A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master?s degree and clinical experience and supervision for licensure or certification.
Specialty |
Taxonomy Code | Specialty Code | Provider Type | |
Counselor |
101Y00000X | |||
Addiction (Substance Use Disorder) |
101YA0400X | |||
Community/Behavioral Health |
251S00000X | |||
Mental Health |
101YM0800X | |||
Preferred Provider Organization |
305R00000X | |||
Professional |
101YP2500X |
| NPI # | 1487805321 |
| LBN Legal business name | ASSOCIATED FAMILY AND LIFE SERVICES, LLC |
| Authorized official | WINSTON VICKERS - (DIRECTOR) |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | 10/09/2008 |
| Last updated | 05/12/2014 - About 12 years ago |
| Identifiers | n/a |
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