| Counseling And Consultaion Services, Inc. | |
|
110 Steppenstone Blvd Limestone TN 37681-2740 | |
| (423) 257-6054 | |
| (423) 257-6975 |
| Full Name | Counseling And Consultaion Services, Inc. |
|---|---|
| Speciality | Counselor - Mental Health |
| Location | 110 Steppenstone Blvd, Limestone, Tennessee |
| Authorized Official Name and Position | Laura Marlene Newsome (ADMINISTRATIVE EXECUTIVE ASSISTANT) |
| Authorized Official Contact | 4232577555 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Counseling And Consultaion Services, Inc. Po Box 278 Limestone TN 37681-0278 Ph: (423) 257-6054 | Counseling And Consultaion Services, Inc. 110 Steppenstone Blvd Limestone TN 37681-2740 Ph: (423) 257-6054 |
| NPI Number | 1316035157 |
|---|---|
| Provider Enumeration Date | 10/10/2006 |
| Last Update Date | 03/02/2018 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1316035157 | NPI | - | NPPES |
| 1503148 | Medicaid | TN | |
| 007703716 | Medicaid | VA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | PE0000001390 (Tennessee) | Primary |