Provider Demographics
NPI:1518377472
Name:THE COUNSELING AND TRAINING CENTER INC.
Entity Type:Organization
Organization Name:THE COUNSELING AND TRAINING CENTER INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:MS
Authorized Official - First Name:BRENDA
Authorized Official - Middle Name:
Authorized Official - Last Name:COPELAND
Authorized Official - Suffix:
Authorized Official - Credentials:LMFT
Authorized Official - Phone:478-953-0667
Mailing Address - Street 1:524 S HOUSTON LAKE RD
Mailing Address - Street 2:BUILDING L
Mailing Address - City:WARNER ROBINS
Mailing Address - State:GA
Mailing Address - Zip Code:31088-9027
Mailing Address - Country:US
Mailing Address - Phone:478-953-0667
Mailing Address - Fax:478-254-9789
Practice Address - Street 1:524 S HOUSTON LAKE RD
Practice Address - Street 2:BUILDING L
Practice Address - City:WARNER ROBINS
Practice Address - State:GA
Practice Address - Zip Code:31088-9027
Practice Address - Country:US
Practice Address - Phone:478-953-0667
Practice Address - Fax:478-254-9789
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2014-04-30
Last Update Date:2014-04-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GA001043251S00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251S00000XAgenciesCommunity/Behavioral Health