Community Counseling Center Of Ashtabula County in Ashtabula - Adolescent And Children Mental Health
Community Counseling Center Of Ashtabula County - NPI 1720029622
Community Counseling Center Of Ashtabula County is a Adolescent And Children Mental Health in Ashtabula, Ohio. Community Counseling Center Of Ashtabula County practices all healthcare services and medical treatments related to Adolescent And Children Mental Health. The NPI Number for Community Counseling Center Of Ashtabula County is 1720029622. The last update date is 2015-03-04.
Community Counseling Center Of Ashtabula County's current location address is 2801 'c' Court, Ashtabula, Ohio. You can contact this provider via phone number 4409984210 and fax number 4409982247. The mailing address for Community Counseling Center Of Ashtabula County is 2801 'c' Court, Ashtabula, Ohio. To know further, please read the information below!
Provider Profile Detail
Provider Organization | Community Counseling Center Of Ashtabula County |
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Address | 2801 'c' Court, Ashtabula, Ohio |
Phone Number | 4409984210 |
Fax Number | 4409982247 |
Sole Proprietor | -- |
Credentials | -- |
Authorized Official
Title or Position | CEO |
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Authorized Official Name | Bolino Samuel Paul |
Credentials | M.S,ED.,LP |
Telephone Number | 4409984210 |
NPI Number Detail
NPI Number | 1720029622 |
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Provider Enumeration Date | 2006-06-10 |
Last Updated Date | 2015-03-04 |
Provider Mailing Address Detail
Address | 2801 'c' Court |
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City | Ashtabula |
State | Ohio (OH) |
Post Code | 44004 |
Phone Number | 4409984210 |
Fax Number | 4409982247 |
Provider's Primary Taxonomy Detail
Speciality | Adolescent And Children Mental Health |
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Taxonomy | 261Qm0855X |
Licence No | 166 |
Definition: An entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to mental and behavioral disorders in children and adolescents. Services may be provided to parents and family members of the patie |
Provider's Other Legacy Identifiers
Identifier | Identifier Type | Identifier State | Identifier Issuer |
---|---|---|---|
200508 | OH | -- |
Post Comment/ Review Below
What is the unique identifier code issued to Community Counseling Center Of Ashtabula County by the Centers for Medicare & Medicaid Services?
The Community Counseling Center Of Ashtabula County has been assigned the NPI (National Provider Identifier) 1720029622. This 10-digit code serves as a unique identification number for healthcare providers issued by the Centers for Medicare & Medicaid Services (CMS).
Could you share the physical location details of Community Counseling Center Of Ashtabula County?
The Community Counseling Center Of Ashtabula County is situated at 2801 'C' Court, in the city of Ashtabula, state of OH, with the zip code 44004.
What is Community Counseling Center Of Ashtabula County's primary area of medical expertise, and what taxonomy classification code corresponds to this specialized field?
The primary area of medical expertise for Community Counseling Center Of Ashtabula County is Adolescent And Children Mental Health, and the corresponding taxonomy classification code for this specialized field is 261Qm0855X.
On what date did the Community Counseling Center Of Ashtabula County receive the assignment of its 1720029622 from the Centers for Medicare & Medicaid Services?
The Community Counseling Center Of Ashtabula County was issued its 1720029622 by the Centers for Medicare & Medicaid Services on 2006-06-10.
As of what date was the information regarding Community Counseling Center Of Ashtabula County, such as address, specialty, and other details, last verified and confirmed to be up-to-date?
The information related to Community Counseling Center Of Ashtabula County, including its address, specialty, and other relevant details, was last verified and confirmed to be up-to-date on 2015-03-04.