Provider Demographics
NPI:1023841897
Name:CG COUNSELING SERVICES PLLC
Entity type:Organization
Organization Name:CG COUNSELING SERVICES PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:CHRISTIE
Authorized Official - Middle Name:
Authorized Official - Last Name:GREEN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:360-535-4247
Mailing Address - Street 1:1150 EAGLE CREST PL
Mailing Address - Street 2:
Mailing Address - City:PORT ORCHARD
Mailing Address - State:WA
Mailing Address - Zip Code:98366-3629
Mailing Address - Country:US
Mailing Address - Phone:360-535-4247
Mailing Address - Fax:
Practice Address - Street 1:1150 EAGLE CREST PL
Practice Address - Street 2:
Practice Address - City:PORT ORCHARD
Practice Address - State:WA
Practice Address - Zip Code:98366-3629
Practice Address - Country:US
Practice Address - Phone:360-535-4247
Practice Address - Fax:360-519-2018
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-08-26
Last Update Date:2024-08-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health