Provider Demographics
NPI:1396198206
Name:3C COUNSELING & CONSULTING SERVICES, LLC
Entity Type:Organization
Organization Name:3C COUNSELING & CONSULTING SERVICES, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CLINICAL DIRECTOR/PRACTICE OWNER
Authorized Official - Prefix:MS
Authorized Official - First Name:CAROLE
Authorized Official - Middle Name:M
Authorized Official - Last Name:BOWER
Authorized Official - Suffix:
Authorized Official - Credentials:MA, LPCC-S
Authorized Official - Phone:513-573-3550
Mailing Address - Street 1:3532 IRWIN SIMPSON RD
Mailing Address - Street 2:SUITE 85
Mailing Address - City:MASON
Mailing Address - State:OH
Mailing Address - Zip Code:45040-9550
Mailing Address - Country:US
Mailing Address - Phone:513-573-3550
Mailing Address - Fax:513-573-3552
Practice Address - Street 1:3532 IRWIN SIMPSON RD
Practice Address - Street 2:SUITE 85
Practice Address - City:MASON
Practice Address - State:OH
Practice Address - Zip Code:45040-9550
Practice Address - Country:US
Practice Address - Phone:513-573-3550
Practice Address - Fax:513-573-3552
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-07-14
Last Update Date:2016-07-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OHE-0006333101YM0800X
OHE-0500322101YM0800X
OHC-0700242101YM0800X
OHM 1600002106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental HealthGroup - Single Specialty
No106H00000XBehavioral Health & Social Service ProvidersMarriage & Family TherapistGroup - Single Specialty