Provider Demographics
NPI:1629165931
Name:COUNSELING AND PSYCHOLOGICAL SERVICES LLC
Entity Type:Organization
Organization Name:COUNSELING AND PSYCHOLOGICAL SERVICES LLC
Other - Org Name:CAPS
Other - Org Type:Doing Business As
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 - Suffix:
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
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-10-06
Last Update Date:2015-05-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes103T00000XBehavioral Health & Social Service ProvidersPsychologistGroup - Multi-Specialty