Provider Demographics
NPI:1649416868
Name:COMPREHENSIVE COUNSELING SERVICES INC.
Entity Type:Organization
Organization Name:COMPREHENSIVE COUNSELING SERVICES INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:MARIE
Authorized Official - Middle Name:GENE
Authorized Official - Last Name:ARNOLD
Authorized Official - Suffix:
Authorized Official - Credentials:LCSW
Authorized Official - Phone:816-279-3351
Mailing Address - Street 1:2746 FAIRLEIGH TERRACE
Mailing Address - Street 2:PO BOX 6531
Mailing Address - City:ST JOSEPH
Mailing Address - State:MO
Mailing Address - Zip Code:64506
Mailing Address - Country:US
Mailing Address - Phone:816-279-3351
Mailing Address - Fax:816-279-3311
Practice Address - Street 1:2746 FAIRLEIGH TER
Practice Address - Street 2:
Practice Address - City:SAINT JOSEPH
Practice Address - State:MO
Practice Address - Zip Code:64506-2870
Practice Address - Country:US
Practice Address - Phone:816-279-3351
Practice Address - Fax:816-279-3311
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-12-17
Last Update Date:2008-12-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental HealthGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
MO10001610900OtherCOMMUNITY HEALTH PLAN
MO1629097134Medicaid
MO33576022OtherBLUE CROSS BLUE SHIELD