COUNSELING AND PSYCHOLOGICAL SERVICES LLC

Provider Demographics

• NPI: 1629165931
• Name: COUNSELING AND PSYCHOLOGICAL SERVICES LLC
• Entity type: Organization
• Organization Name: COUNSELING AND PSYCHOLOGICAL SERVICES LLC
• Other - Org Name: <UNAVAIL>
• Authorized Official - Title/Position: DIRECTOR
• Authorized Official - Prefix: DR
• Authorized Official - First Name: JAMES
• Authorized Official - Middle Name: HARRISON
• Authorized Official - Last Name: STRAUB
• Authorized Official - Credentials: EDD
• Authorized Official - Phone: 573-446-5034
• Mailing Address - Street 1: 2804 FORUM BLVD
• Mailing Address - Street 2: SUITE 4
• Mailing Address - City: COLUMBIA
• Mailing Address - State: MO
• Mailing Address - Zip Code: 65203
• Mailing Address - Country: US
• Mailing Address - Phone: 573-446-5034
• Mailing Address - Fax: 573-446-5046
• Practice Address - Street 1: 2804 FORUM BLVD
• Practice Address - Street 2: SUITE 4
• Practice Address - City: COLUMBIA
• Practice Address - State: MO
• Practice Address - Zip Code: 65203
• Practice Address - Country: US
• Practice Address - Phone: 573-446-5034
• Practice Address - Fax: 573-446-5046
• EIN: <UNAVAIL>
• Is Organization Subpart?: No
• Enumeration Date: 2006-10-06
• Last Update Date: 2015-05-13

Provider Taxonomies

Primary?	Code	Type	Classification	Specialization	Group
Yes	103T00000X	Behavioral Health & Social Service Providers	Psychologist		Group - Multi-Specialty