Provider Demographics
NPI:1508698424
Name:CINCH THE KNOT CHRISTIAN COUNSELING SERVICES
Entity type:Organization
Organization Name:CINCH THE KNOT CHRISTIAN COUNSELING SERVICES
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:COUNSELOR
Authorized Official - Prefix:MR
Authorized Official - First Name:NED
Authorized Official - Middle Name:
Authorized Official - Last Name:BARTLEBAUGH
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:803-414-7972
Mailing Address - Street 1:730 BRADFORD ST
Mailing Address - Street 2:
Mailing Address - City:LANTANA
Mailing Address - State:TX
Mailing Address - Zip Code:76226-6443
Mailing Address - Country:US
Mailing Address - Phone:803-414-7972
Mailing Address - Fax:
Practice Address - Street 1:730 BRADFORD ST
Practice Address - Street 2:
Practice Address - City:LANTANA
Practice Address - State:TX
Practice Address - Zip Code:76226-6443
Practice Address - Country:US
Practice Address - Phone:803-414-7972
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-08-19
Last Update Date:2024-08-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family TherapistGroup - Multi-Specialty
No101YP1600XBehavioral Health & Social Service ProvidersCounselorPastoralGroup - Multi-Specialty
No101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessionalGroup - Multi-Specialty
No133N00000XDietary & Nutritional Service ProvidersNutritionistGroup - Multi-Specialty