| Community Centered Counseling Services, Llc. | |
|
2711 W 63rd St. Ste 3 Davenport IA 52806 | |
| (563) 388-1039 | |
| (563) 388-1041 |
| Full Name | Community Centered Counseling Services, Llc. |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 2711 W 63rd St., Davenport, Iowa |
| Authorized Official Name and Position | Adam Francis Vilmont (DIRECTOR/OWNER) |
| Authorized Official Contact | 5633491638 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Community Centered Counseling Services, Llc. 2711 W 63rd St. Ste 3 Davenport IA 52806 Ph: (563) 388-1039 | Community Centered Counseling Services, Llc. 2711 W 63rd St. Ste 3 Davenport IA 52806 Ph: (563) 388-1039 |
| NPI Number | 1356635759 |
|---|---|
| Provider Enumeration Date | 06/02/2011 |
| Last Update Date | 04/08/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1356635759 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | 03801 (Iowa) | Primary |
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