Provider Demographics
NPI:1184229726
Name:HANCOCK COUNSELING, LLC
Entity Type:Organization
Organization Name:HANCOCK COUNSELING, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CLINICAL DIRECTOR
Authorized Official - Prefix:
Authorized Official - First Name:UTAHNA
Authorized Official - Middle Name:
Authorized Official - Last Name:HANCOCK
Authorized Official - Suffix:
Authorized Official - Credentials:MA, MED
Authorized Official - Phone:573-388-2246
Mailing Address - Street 1:528 HELENA ST
Mailing Address - Street 2:
Mailing Address - City:CAPE GIRARDEAU
Mailing Address - State:MO
Mailing Address - Zip Code:63701-5133
Mailing Address - Country:US
Mailing Address - Phone:573-388-2246
Mailing Address - Fax:573-388-2256
Practice Address - Street 1:528 HELENA ST
Practice Address - Street 2:
Practice Address - City:CAPE GIRARDEAU
Practice Address - State:MO
Practice Address - Zip Code:63701-5133
Practice Address - Country:US
Practice Address - Phone:573-388-2246
Practice Address - Fax:573-388-2256
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-12-02
Last Update Date:2020-12-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessionalGroup - Single Specialty