| Community Counseling Center Llc | |
|
509 W 9th Street Hopkinsville KY 42240-2133 | |
| (270) 886-1515 | |
| (270) 885-9232 |
| Full Name | Community Counseling Center Llc |
|---|---|
| Speciality | Counselor - Mental Health |
| Location | 509 W 9th Street, Hopkinsville, Kentucky |
| Authorized Official Name and Position | Mickey Lewis (OWNER) |
| Authorized Official Contact | 2707764751 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Community Counseling Center Llc 509 W 9th St Hopkinsville KY 42240 Ph: (270) 886-1515 | Community Counseling Center Llc 509 W 9th Street Hopkinsville KY 42240-2133 Ph: (270) 886-1515 |
| NPI Number | 1457758237 |
|---|---|
| Provider Enumeration Date | 11/22/2014 |
| Last Update Date | 02/28/2024 |
| Certification Date | 02/27/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1457758237 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | (* (Not Available)) | Primary |
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