Connective Clinical Counseling

LBN: Connective Clinical Counseling
Connective Clinical Counseling is an health care organization with primary practice located at 2377 Fourth Street , Syracuse OH 45779. 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. Connective Clinical Counseling can be contacted via phone (740) 247-5463, or through Gibson, Trisha via phone (740) 247-5463.

Contact Information

Primary practice address
2377 Fourth Street Syracuse OH 45779
Phone: (740) 247-5463
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Gibson, Trisha MA, LPCC, LICDC
Phone: (740) 247-5463

Health care specialties

SpecialtyCodeLicense #State
Ambulatory Health Care Facilities / Adult Mental Health 261QM0850X

Profile Details

NPI number 1770158792
LBN Legal business name Connective Clinical Counseling
DBA Doing business as
Authorized official Gibson, Trisha MA, LPCC, LICDC
Entity Organization
Organization subpart 1 No
Enumeration date May 21st, 2021
Last updated May 21st, 2021 - about 3 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1770158792 NPPES
Ohio MEDICAID 0439139

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