Provider Demographics
NPI:1477769974
Name:PASTORAL CARE AND COUNSELING CENTER
Entity Type:Organization
Organization Name:PASTORAL CARE AND COUNSELING CENTER
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:EXECUTIVE DIRECTOR
Authorized Official - Prefix:DR
Authorized Official - First Name:JAMES
Authorized Official - Middle Name:ROBERT
Authorized Official - Last Name:SULLIMAN
Authorized Official - Suffix:
Authorized Official - Credentials:PHD
Authorized Official - Phone:325-672-5683
Mailing Address - Street 1:1317 N 8TH ST
Mailing Address - Street 2:SUITE 200
Mailing Address - City:ABILENE
Mailing Address - State:TX
Mailing Address - Zip Code:79601-4145
Mailing Address - Country:US
Mailing Address - Phone:325-672-5683
Mailing Address - Fax:325-672-5685
Practice Address - Street 1:1317 N 8TH ST
Practice Address - Street 2:SUITE 200
Practice Address - City:ABILENE
Practice Address - State:TX
Practice Address - Zip Code:79601-4145
Practice Address - Country:US
Practice Address - Phone:325-672-5683
Practice Address - Fax:325-672-5685
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-05-14
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251S00000XAgenciesCommunity/Behavioral Health