# COMMUNITY COUNSELING CENTER LLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1457758237
- **Authorized official:** MICKEY LEWIS (OWNER)
- **Authorized official phone:** (270) 776-4751

## Contact information

- **Practice address:** 509 W 9TH STREET, HOPKINSVILLE, KY 42240-2133
- **Practice address phone:** (270) 886-1515
- **Practice address fax:** (270) 885-9232
- **Mailing address:** 509 W 9TH ST, HOPKINSVILLE, KY 42240
- **Mailing address phone:** (270) 886-1515

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 101YM0800X | Mental Health Counselor | — | NULL | Yes |
| 101YM0800X | Mental Health Counselor | — | — | Yes |

## Other

- **Enumeration date:** 11/22/2014
- **Last updated:** 02/28/2024