Provider Demographics
NPI:1831728229
Name:COUNSELING CONNECTIONS CENTER LLC
Entity type:Organization
Organization Name:COUNSELING CONNECTIONS CENTER LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CO-OWNER
Authorized Official - Prefix:
Authorized Official - First Name:ERIN
Authorized Official - Middle Name:
Authorized Official - Last Name:PERRY
Authorized Official - Suffix:
Authorized Official - Credentials:LPCC
Authorized Official - Phone:419-447-8111
Mailing Address - Street 1:300 MELMORE ST
Mailing Address - Street 2:
Mailing Address - City:TIFFIN
Mailing Address - State:OH
Mailing Address - Zip Code:44883-3535
Mailing Address - Country:US
Mailing Address - Phone:419-447-8111
Mailing Address - Fax:419-447-8158
Practice Address - Street 1:300 MELMORE ST
Practice Address - Street 2:
Practice Address - City:TIFFIN
Practice Address - State:OH
Practice Address - Zip Code:44883-3535
Practice Address - Country:US
Practice Address - Phone:419-447-8111
Practice Address - Fax:419-447-8158
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-04-07
Last Update Date:2020-04-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental HealthGroup - Single Specialty