Provider Demographics
NPI:1508422791
Name:CENTRAL CARE COUNSELING SERVICES LLC
Entity Type:Organization
Organization Name:CENTRAL CARE COUNSELING SERVICES LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:ALEYDA
Authorized Official - Middle Name:JOHAMY
Authorized Official - Last Name:SANCHEZ
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:615-424-3735
Mailing Address - Street 1:1161 MURFREESBORO PIKE STE 503
Mailing Address - Street 2:
Mailing Address - City:NASHVILLE
Mailing Address - State:TN
Mailing Address - Zip Code:37217-2201
Mailing Address - Country:US
Mailing Address - Phone:615-622-4744
Mailing Address - Fax:
Practice Address - Street 1:1161 MURFREESBORO PIKE STE 503
Practice Address - Street 2:
Practice Address - City:NASHVILLE
Practice Address - State:TN
Practice Address - Zip Code:37217-2201
Practice Address - Country:US
Practice Address - Phone:615-398-9242
Practice Address - Fax:615-528-5446
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-05-14
Last Update Date:2019-05-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101Y00000XBehavioral Health & Social Service ProvidersCounselorGroup - Multi-Specialty