Provider Demographics
NPI:1730658170
Name:CCES LLC
Entity Type:Organization
Organization Name:CCES LLC
Other - Org Name:JANICE M CHRISTOPHER LPC
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:JANICE
Authorized Official - Middle Name:M
Authorized Official - Last Name:CHRISTOPHER
Authorized Official - Suffix:
Authorized Official - Credentials:LPC
Authorized Official - Phone:361-541-2038
Mailing Address - Street 1:PO BOX 92
Mailing Address - Street 2:
Mailing Address - City:GANADO
Mailing Address - State:TX
Mailing Address - Zip Code:77962-0092
Mailing Address - Country:US
Mailing Address - Phone:361-541-2038
Mailing Address - Fax:833-799-3545
Practice Address - Street 1:3184 HWY 172
Practice Address - Street 2:
Practice Address - City:GANADO
Practice Address - State:TX
Practice Address - Zip Code:77962-8735
Practice Address - Country:US
Practice Address - Phone:361-541-2038
Practice Address - Fax:833-799-3545
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2018-11-15
Last Update Date:2024-02-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessionalGroup - Single Specialty