Provider Demographics
| NPI: | 1285793380 |
|---|---|
| Name: | PERSONAL COUNSELING SERVICES, INC. |
| Entity type: | Organization |
| Organization Name: | PERSONAL COUNSELING SERVICES, INC. |
| Other - Org Name: | <UNAVAIL> |
| Other - Org Type: | |
| Authorized Official - Title/Position: | PRESIDENT/CEO |
| Authorized Official - Prefix: | MR |
| Authorized Official - First Name: | DOUGLAS |
| Authorized Official - Middle Name: | STEVEN |
| Authorized Official - Last Name: | DRAKE |
| Authorized Official - Suffix: | |
| Authorized Official - Credentials: | MBA |
| Authorized Official - Phone: | 812-206-4273 |
| Mailing Address - Street 1: | 1205 APPLEGATE LANE |
| Mailing Address - Street 2: | |
| Mailing Address - City: | CLARKSVILLE |
| Mailing Address - State: | IN |
| Mailing Address - Zip Code: | 47129 |
| Mailing Address - Country: | US |
| Mailing Address - Phone: | 812-283-8383 |
| Mailing Address - Fax: | 812-283-8429 |
| Practice Address - Street 1: | 1205 APPLEGATE LANE |
| Practice Address - Street 2: | |
| Practice Address - City: | CLARKSVILLE |
| Practice Address - State: | IN |
| Practice Address - Zip Code: | 47129 |
| Practice Address - Country: | US |
| Practice Address - Phone: | 812-283-8383 |
| Practice Address - Fax: | 812-283-8429 |
| EIN: | <UNAVAIL> |
| Is Organization Subpart?: | No |
| Parent Organization LBN: | |
| Parent Organization TIN: | |
| Enumeration Date: | 2006-12-06 |
| Last Update Date: | 2025-06-11 |
| Deactivation Date: | |
| Deactivation Code: | |
| Reactivation Date: |
Provider Taxonomies
| Primary? | Code | Type | Classification | Specialization | Group |
|---|---|---|---|---|---|
| Yes | 101YM0800X | Behavioral Health & Social Service Providers | Counselor | Mental Health | Group - Single Specialty |