# CENTRAL COUNSELING SERVICES, LLC

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

## Provider details

- **NPI number:** 1497985360
- **Authorized official:** JUDY WALKER GRANGER MS,CAP,ICADC,CMHP (OWNER)
- **Authorized official phone:** (904) 742-5835

## Contact information

- **Practice address:** 630 W ADAMS ST, STE 303, JACKSONVILLE, FL 32204-1645
- **Practice address phone:** (904) 742-5835
- **Practice address fax:** (904) 212-0056
- **Mailing address:** 630 W ADAMS ST, STE 303, JACKSONVILLE, FL 32204-1645
- **Mailing address phone:** (904) 742-5835
- **Mailing address fax:** (904) 212-0056

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 251B00000X | Case Management Agency | — | NULL | Yes |

## Other

- **Enumeration date:** 07/24/2009
- **Last updated:** 12/11/2014

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 000781700 | — | FL |