Provider Demographics
NPI:1003439696
Name:THE COUNSELING CENTER, LLC
Entity Type:Organization
Organization Name:THE COUNSELING CENTER, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/CEO
Authorized Official - Prefix:MR
Authorized Official - First Name:JASON
Authorized Official - Middle Name:M
Authorized Official - Last Name:LYNCH
Authorized Official - Suffix:
Authorized Official - Credentials:MS, LMHCA, LCACA
Authorized Official - Phone:317-754-0808
Mailing Address - Street 1:23 S 8TH ST STE 1150
Mailing Address - Street 2:
Mailing Address - City:NOBLESVILLE
Mailing Address - State:IN
Mailing Address - Zip Code:46060-2645
Mailing Address - Country:US
Mailing Address - Phone:317-754-0808
Mailing Address - Fax:
Practice Address - Street 1:23 S 8TH ST STE 1150
Practice Address - Street 2:
Practice Address - City:NOBLESVILLE
Practice Address - State:IN
Practice Address - Zip Code:46060-2645
Practice Address - Country:US
Practice Address - Phone:317-754-0808
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-05-19
Last Update Date:2020-05-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental HealthGroup - Single Specialty