Specialty |
Taxonomy Code | Specialty Code | Provider Type | |
Professional |
101YP2500X | |||
Addiction (Substance Use Disorder) |
101YA0400X | |||
Art Therapist |
221700000X | |||
Behavior Analyst |
103K00000X | |||
Behavior Technician |
106S00000X | |||
Clinical |
1041C0700X | 80 | Licensed Clinical Social Worker | |
Counseling |
103TC1900X | 62 | Psychologist, Clinical | |
Mental Health |
101YM0800X | |||
Mental Health |
225XM0800X | 67 | Occupational Therapist in Private Practice | |
Mental Health (Including Community Mental Health Center) |
261QM0801X | B4[14] | Community Mental Health Center | |
Other Service Providers |
175T00000X | |||
Pastoral |
101YP1600X | |||
Psychiatric/Mental Health |
163WP0808X |
| NPI # | 1497468870 |
| LBN Legal business name | THE COUNSELING DEN CHRISTIAN COUNSELING CENTER |
| Authorized official | ERICA HOLMES - (CLINICAL DIRECTOR) |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | 01/02/2023 |
| Last updated | 01/02/2023 - About 3 years ago |
| Identifiers | n/a |
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