Provider Demographics
NPI:1265811756
Name:CONSULTING, COUNSELING AND TRAINING, INC.
Entity type:Organization
Organization Name:CONSULTING, COUNSELING AND TRAINING, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:PROF
Authorized Official - First Name:CYNTHIA
Authorized Official - Middle Name:ANN
Authorized Official - Last Name:FAULKNER
Authorized Official - Suffix:
Authorized Official - Credentials:PHD,, MSW, LCSW
Authorized Official - Phone:606-356-7094
Mailing Address - Street 1:55 GENE WHITE LN
Mailing Address - Street 2:
Mailing Address - City:MOREHEAD
Mailing Address - State:KY
Mailing Address - Zip Code:40351-9584
Mailing Address - Country:US
Mailing Address - Phone:606-356-7094
Mailing Address - Fax:
Practice Address - Street 1:55 GENE WHITE LN
Practice Address - Street 2:
Practice Address - City:MOREHEAD
Practice Address - State:KY
Practice Address - Zip Code:40351-9584
Practice Address - Country:US
Practice Address - Phone:606-356-7094
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-05-29
Last Update Date:2015-05-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KY72691041C0700X
TX202671041C0700X
KY32761041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinicalGroup - Multi-Specialty