Provider Demographics
NPI:1437210960
Name:COLLEGE HEIGHTS CHRISTIAN COUNSELING
Entity Type:Organization
Organization Name:COLLEGE HEIGHTS CHRISTIAN COUNSELING
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ACCOUNTS MANAGER
Authorized Official - Prefix:MR
Authorized Official - First Name:JOHN
Authorized Official - Middle Name:ROBERT
Authorized Official - Last Name:GILES
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:417-624-0570
Mailing Address - Street 1:811 SYCAMORE RD
Mailing Address - Street 2:
Mailing Address - City:JOPLIN
Mailing Address - State:MO
Mailing Address - Zip Code:64801-9586
Mailing Address - Country:US
Mailing Address - Phone:417-624-0570
Mailing Address - Fax:417-624-0996
Practice Address - Street 1:811 SYCAMORE RD
Practice Address - Street 2:
Practice Address - City:JOPLIN
Practice Address - State:MO
Practice Address - Zip Code:64801-9586
Practice Address - Country:US
Practice Address - Phone:417-624-0570
Practice Address - Fax:417-624-0996
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-12-12
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental HealthGroup - Multi-Specialty