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Contact Information

COFFEE CLUTCH COUNSELING SERVICES, LLC
2151 LAFAYETTE AVE STE 105
TERRE HAUTE, IN47805-2910
 Phone: 315-408-9379
 Fax: 561-282-3238
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Clinical

1041C0700X 80 Licensed Clinical Social Worker
 

Addiction (Substance Use Disorder)

101YA0400X
Indicates primary specialty

NPI Profile & details for COFFEE CLUTCH COUNSELING SERVICES, LLC

NPI Number 1477027696
LBN Legal business name COFFEE CLUTCH COUNSELING SERVICES, LLC
Authorized official REBECCA CHAMBERS - (OWNER)
Entity Organization
Organization subpart 1 No
Enumeration date 01/22/2019
Last updated 03/01/2019 - About 7 years ago
Identifiers n/a
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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