Provider Demographics
NPI:1245856806
Name:SYNERGY COUNSELING SERVICES
Entity type:Organization
Organization Name:SYNERGY COUNSELING SERVICES
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/OPERATOR
Authorized Official - Prefix:DR
Authorized Official - First Name:JAMES
Authorized Official - Middle Name:HOLLAND
Authorized Official - Last Name:MOODY
Authorized Official - Suffix:JR
Authorized Official - Credentials:PHD, LPC
Authorized Official - Phone:843-224-6283
Mailing Address - Street 1:4414 BRAINERD RD
Mailing Address - Street 2:
Mailing Address - City:CHATTANOOGA
Mailing Address - State:TN
Mailing Address - Zip Code:37411-5426
Mailing Address - Country:US
Mailing Address - Phone:843-224-4174
Mailing Address - Fax:
Practice Address - Street 1:4414 BRAINERD RD
Practice Address - Street 2:
Practice Address - City:CHATTANOOGA
Practice Address - State:TN
Practice Address - Zip Code:37411-5426
Practice Address - Country:US
Practice Address - Phone:843-224-4174
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-06-19
Last Update Date:2020-06-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental HealthGroup - Single Specialty