Provider Demographics
NPI:1578959854
Name:COMMUNITY COUNSELING SOLUTIONS
Entity Type:Organization
Organization Name:COMMUNITY COUNSELING SOLUTIONS
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:EXECUTIVE DIRECTOR
Authorized Official - Prefix:
Authorized Official - First Name:KIMBERLY
Authorized Official - Middle Name:
Authorized Official - Last Name:LINDSAY
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:547-676-9161
Mailing Address - Street 1:68982 WILLOW CREEK RD
Mailing Address - Street 2:
Mailing Address - City:HEPPNER
Mailing Address - State:OR
Mailing Address - Zip Code:97836-6258
Mailing Address - Country:US
Mailing Address - Phone:541-676-5125
Mailing Address - Fax:
Practice Address - Street 1:68982 WILLOW CREEK RD
Practice Address - Street 2:
Practice Address - City:HEPPNER
Practice Address - State:OR
Practice Address - Zip Code:97836-6258
Practice Address - Country:US
Practice Address - Phone:541-676-5125
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-04-13
Last Update Date:2015-04-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251S00000XAgenciesCommunity/Behavioral Health