Community Counseling & Evaluation Services, Llc
LBN: Community Counseling & Evaluation Services, Llc
Community Counseling & Evaluation Services, Llc is an health care organization with primary practice located at 115 S Main St , Jefferson WI 53549-1631. The organization recently has only one registered license in Ambulatory Health Care Facilities / Adult Mental Health, which is considered as the primary health care specialty.
Community Counseling & Evaluation Services, Llc can be contacted via phone (920) 728-1125, or through King, Tammy Jane via phone (920) 728-1125.
Contact Information
Primary practice address
115 S Main St
Jefferson WI 53549-1631
Phone: (920) 728-1125
Fax:
Website:
Authorized official contact:
Name: King, Tammy Jane Licensed Clinical Social Worker (LCSW)
Phone: (920) 728-1125
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Ambulatory Health Care Facilities / Adult Mental Health | 261QM0850X | 6752-123 | Wisconsin |
Profile Details
| NPI number | 1700390374 |
|---|---|
| LBN Legal business name | Community Counseling & Evaluation Services, Llc |
| DBA Doing business as | |
| Authorized official | King, Tammy Jane Licensed Clinical Social Worker (LCSW) |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Nov 18th, 2017 |
| Last updated | Nov 18th, 2017 - about 7 years ago |
1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1700390374 | NPPES |
| Wisconsin | Other | 1851710909 | INDIVIDUAL |
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