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Contact Information

THE COUNSELING DEN CHRISTIAN COUNSELING CENTER
7145 SWINNEA RD STE 2
SOUTHAVEN, MS38671-6380
 Phone: 901-647-9167
 Fax:
 Website:
 

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
Indicates primary specialty

NPI Profile & details for THE COUNSELING DEN CHRISTIAN COUNSELING CENTER

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
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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