CONNECTIVE CLINICAL COUNSELING; NPI #1770158792

Contact Information

CONNECTIVE CLINICAL COUNSELING

2377 FOURTH STREET
SYRACUSE, OH 45779

Phone: 740-247-5463
Fax:
Website:

	Specialty	Taxonomy Code	Specialty Code	Provider Type
	Adult Mental Health	261QM0850X

Indicates primary specialty

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NPI Profile & details for CONNECTIVE CLINICAL COUNSELING

NPI Number 1770158792

LBN Legal business name CONNECTIVE CLINICAL COUNSELING

Authorized official TRISHA GIBSON - (PSYCHOTHERAPIST)

Entity Organization

Organization subpart ¹ No

Enumeration date 05/21/2021

Last updated 05/21/2021 - About 5 years ago

Identifiers

Medicaid

0439139

¹ Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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