Provider Demographics
NPI:1346615010
Name:THREE C COUNSELING, INC
Entity Type:Organization
Organization Name:THREE C COUNSELING, INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:TIMOTHY
Authorized Official - Middle Name:
Authorized Official - Last Name:BATDORF
Authorized Official - Suffix:
Authorized Official - Credentials:LICDC, SAP
Authorized Official - Phone:419-522-5015
Mailing Address - Street 1:28 PARK AVE W
Mailing Address - Street 2:300
Mailing Address - City:MANSFIELD
Mailing Address - State:OH
Mailing Address - Zip Code:44902-1648
Mailing Address - Country:US
Mailing Address - Phone:419-522-5015
Mailing Address - Fax:419-522-5017
Practice Address - Street 1:28 PARK AVE W
Practice Address - Street 2:300
Practice Address - City:MANSFIELD
Practice Address - State:OH
Practice Address - Zip Code:44902-1648
Practice Address - Country:US
Practice Address - Phone:419-522-5015
Practice Address - Fax:419-522-5017
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-12-07
Last Update Date:2015-12-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental HealthGroup - Multi-Specialty