Provider Demographics
NPI:1710653480
Name:CAGE COUNSELING & CONSULTING SERVICES, LLC
Entity Type:Organization
Organization Name:CAGE COUNSELING & CONSULTING SERVICES, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:SCARLET
Authorized Official - Middle Name:
Authorized Official - Last Name:CHANCEY
Authorized Official - Suffix:
Authorized Official - Credentials:LPC, ICADCII, ACS
Authorized Official - Phone:912-297-6539
Mailing Address - Street 1:PO BOX 757
Mailing Address - Street 2:
Mailing Address - City:GUYTON
Mailing Address - State:GA
Mailing Address - Zip Code:31312-0757
Mailing Address - Country:US
Mailing Address - Phone:912-297-6539
Mailing Address - Fax:912-500-2970
Practice Address - Street 1:5717 GA HIGHWAY 21 S UPPR UNIT
Practice Address - Street 2:
Practice Address - City:RINCON
Practice Address - State:GA
Practice Address - Zip Code:31326-5554
Practice Address - Country:US
Practice Address - Phone:912-297-6539
Practice Address - Fax:912-500-2970
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-08-21
Last Update Date:2024-03-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessionalGroup - Multi-Specialty
No101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)Group - Multi-Specialty
No101YM0800XBehavioral Health & Social Service ProvidersCounselorMental HealthGroup - Multi-Specialty