Provider Demographics
NPI:1376370247
Name:C&C COUNSELING CONNECTION LLC
Entity type:Organization
Organization Name:C&C COUNSELING CONNECTION LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:MS
Authorized Official - First Name:CARLA
Authorized Official - Middle Name:
Authorized Official - Last Name:RASNICK
Authorized Official - Suffix:
Authorized Official - Credentials:LMHC, MA
Authorized Official - Phone:727-201-2575
Mailing Address - Street 1:11020 SEMINOLE BLVD
Mailing Address - Street 2:
Mailing Address - City:LARGO
Mailing Address - State:FL
Mailing Address - Zip Code:33778-3229
Mailing Address - Country:US
Mailing Address - Phone:727-201-2575
Mailing Address - Fax:
Practice Address - Street 1:11020 SEMINOLE BLVD
Practice Address - Street 2:
Practice Address - City:LARGO
Practice Address - State:FL
Practice Address - Zip Code:33778-3229
Practice Address - Country:US
Practice Address - Phone:727-201-2575
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-09-16
Last Update Date:2024-09-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101Y00000XBehavioral Health & Social Service ProvidersCounselorGroup - Multi-Specialty