Provider Demographics
NPI:1912168733
Name:CC COUNSELING SERVICES,LLC
Entity type:Organization
Organization Name:CC COUNSELING SERVICES,LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/LICENSED PROFESSIONAL COUNSEL
Authorized Official - Prefix:
Authorized Official - First Name:BARBARA
Authorized Official - Middle Name:K
Authorized Official - Last Name:HYLTON
Authorized Official - Suffix:
Authorized Official - Credentials:MS
Authorized Official - Phone:417-725-8810
Mailing Address - Street 1:380 E STATE HIGHWAY CC
Mailing Address - Street 2:SUITE A-105
Mailing Address - City:NIXA
Mailing Address - State:MO
Mailing Address - Zip Code:65714-7337
Mailing Address - Country:US
Mailing Address - Phone:417-725-8810
Mailing Address - Fax:417-725-6206
Practice Address - Street 1:380 E STATE HIGHWAY CC
Practice Address - Street 2:SUITE A-105
Practice Address - City:NIXA
Practice Address - State:MO
Practice Address - Zip Code:65714-7337
Practice Address - Country:US
Practice Address - Phone:417-725-8810
Practice Address - Fax:417-725-6206
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-06-24
Last Update Date:2008-06-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MO2001029617101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessionalGroup - Multi-Specialty