Provider Demographics
NPI:1346826377
Name:COMPREHENSIVE COUNSELING AND RECOVERY, LLC
Entity Type:Organization
Organization Name:COMPREHENSIVE COUNSELING AND RECOVERY, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MANAGING MEMBER
Authorized Official - Prefix:DR
Authorized Official - First Name:JAMES
Authorized Official - Middle Name:J
Authorized Official - Last Name:BULDAS
Authorized Official - Suffix:
Authorized Official - Credentials:EDD
Authorized Official - Phone:419-841-2298
Mailing Address - Street 1:3768 COREY RD
Mailing Address - Street 2:
Mailing Address - City:TOLEDO
Mailing Address - State:OH
Mailing Address - Zip Code:43615-1170
Mailing Address - Country:US
Mailing Address - Phone:419-377-7083
Mailing Address - Fax:419-452-4769
Practice Address - Street 1:6800 W CENTRAL AVE STE D2
Practice Address - Street 2:
Practice Address - City:TOLEDO
Practice Address - State:OH
Practice Address - Zip Code:43617-1157
Practice Address - Country:US
Practice Address - Phone:419-841-2298
Practice Address - Fax:419-452-4769
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-03-21
Last Update Date:2021-04-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes103T00000XBehavioral Health & Social Service ProvidersPsychologistGroup - Single Specialty