| Community Counseling Center | |
|
4757 Main Ave Groves TX 77619-4740 | |
| (409) 963-2331 | |
| (409) 963-2346 |
| Full Name | Community Counseling Center |
|---|---|
| Speciality | Counselor |
| Location | 4757 Main Ave, Groves, Texas |
| Authorized Official Name and Position | Amber Malescha Derouen (LICENSED PROF. COUNSELOR/THERAPIST) |
| Authorized Official Contact | 4099632331 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Community Counseling Center 4757 Main Ave Groves TX 77619-4740 Ph: (409) 963-2331 | Community Counseling Center 4757 Main Ave Groves TX 77619-4740 Ph: (409) 963-2331 |
| NPI Number | 1154323566 |
|---|---|
| Provider Enumeration Date | 08/15/2005 |
| Last Update Date | 08/22/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1154323566 | NPI | - | NPPES |
| 164006202 | Medicaid | TX |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101Y00000X | Counselor | 18834 (Texas) | Primary |
Pinnacle Health Services Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 5301 39th St, Groves, TX 77619 Phone: 409-626-1382 Fax: 409-962-2451 | |
Renaissance Hospital - Groves Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 5500 39th St, Groves, TX 77619 Phone: 409-962-5733 Fax: 409-963-5202 | |
Community Counseling Center Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 4757 Main Ave, Groves, TX 77619 Phone: 409-963-2331 Fax: 409-963-2346 |