Provider Demographics
NPI:1295587384
Name:COUNSELING CONSULTING, LLC
Entity type:Organization
Organization Name:COUNSELING CONSULTING, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT/OWNER
Authorized Official - Prefix:MR
Authorized Official - First Name:MITCHELL
Authorized Official - Middle Name:B
Authorized Official - Last Name:BLOCKER
Authorized Official - Suffix:
Authorized Official - Credentials:LMHC, LPC, CAP, LISA
Authorized Official - Phone:520-395-0720
Mailing Address - Street 1:310 S WILLIAMS BLVD STE 270
Mailing Address - Street 2:
Mailing Address - City:TUCSON
Mailing Address - State:AZ
Mailing Address - Zip Code:85711-4483
Mailing Address - Country:US
Mailing Address - Phone:520-395-0720
Mailing Address - Fax:520-844-8047
Practice Address - Street 1:310 S WILLIAMS BLVD STE 270
Practice Address - Street 2:
Practice Address - City:TUCSON
Practice Address - State:AZ
Practice Address - Zip Code:85711-4483
Practice Address - Country:US
Practice Address - Phone:520-395-0720
Practice Address - Fax:520-844-8047
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-04-03
Last Update Date:2024-04-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental HealthGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
AZ097674Medicaid