Provider Demographics
NPI:1790031870
Name:CARE COUNSELING CENTER, INC.
Entity Type:Organization
Organization Name:CARE COUNSELING CENTER, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:MR
Authorized Official - First Name:MICHAEL
Authorized Official - Middle Name:DEAN
Authorized Official - Last Name:LINDEMANN
Authorized Official - Suffix:
Authorized Official - Credentials:MA, LPC
Authorized Official - Phone:763-248-0994
Mailing Address - Street 1:3824 7TH AVE LOWR LEVEL
Mailing Address - Street 2:
Mailing Address - City:ANOKA
Mailing Address - State:MN
Mailing Address - Zip Code:55303-4843
Mailing Address - Country:US
Mailing Address - Phone:763-248-0994
Mailing Address - Fax:763-270-8530
Practice Address - Street 1:3824 7TH AVE LOWR LEVEL
Practice Address - Street 2:
Practice Address - City:ANOKA
Practice Address - State:MN
Practice Address - Zip Code:55303-4843
Practice Address - Country:US
Practice Address - Phone:763-248-0994
Practice Address - Fax:763-270-8530
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2012-07-26
Last Update Date:2012-07-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251S00000XAgenciesCommunity/Behavioral Health