Provider Demographics
NPI:1316035157
Name:COUNSELING AND CONSULTAION SERVICES, INC.
Entity Type:Organization
Organization Name:COUNSELING AND CONSULTAION SERVICES, INC.
Other - Org Name:STEPPENSTONE YOUTH TREATMENT SERVICES
Other - Org Type:Doing Business As
Authorized Official - Title/Position:ADMINISTRATIVE EXECUTIVE ASSISTANT
Authorized Official - Prefix:
Authorized Official - First Name:LAURA
Authorized Official - Middle Name:MARLENE
Authorized Official - Last Name:NEWSOME
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:423-257-7555
Mailing Address - Street 1:PO BOX 278
Mailing Address - Street 2:
Mailing Address - City:LIMESTONE
Mailing Address - State:TN
Mailing Address - Zip Code:37681-0278
Mailing Address - Country:US
Mailing Address - Phone:423-257-6054
Mailing Address - Fax:423-257-6975
Practice Address - Street 1:110 STEPPENSTONE BLVD
Practice Address - Street 2:
Practice Address - City:LIMESTONE
Practice Address - State:TN
Practice Address - Zip Code:37681-2740
Practice Address - Country:US
Practice Address - Phone:423-257-6054
Practice Address - Fax:423-257-6975
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:-
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2006-10-10
Last Update Date:2018-03-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TNPE0000001390101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental HealthGroup - Multi-Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
TN1503148Medicaid
VA007703716Medicaid