Provider Demographics
NPI:1164586814
Name:PASTORAL COUNSELING & CONSULTATION CENTER INC.
Entity Type:Organization
Organization Name:PASTORAL COUNSELING & CONSULTATION CENTER INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DIRECTOR
Authorized Official - Prefix:
Authorized Official - First Name:EDWARD
Authorized Official - Middle Name:
Authorized Official - Last Name:CAUSEY
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:502-893-1913
Mailing Address - Street 1:173 SEARS AVE
Mailing Address - Street 2:SUITE 274
Mailing Address - City:LOUISVILLE
Mailing Address - State:KY
Mailing Address - Zip Code:40207-5059
Mailing Address - Country:US
Mailing Address - Phone:502-893-1913
Mailing Address - Fax:502-893-7195
Practice Address - Street 1:173 SEARS AVE
Practice Address - Street 2:SUITE 274
Practice Address - City:LOUISVILLE
Practice Address - State:KY
Practice Address - Zip Code:40207-5059
Practice Address - Country:US
Practice Address - Phone:502-893-1913
Practice Address - Fax:502-893-7195
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-12-20
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101Y00000XBehavioral Health & Social Service ProvidersCounselorGroup - Multi-Specialty