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Organization
MAPLE STREET COUNSELING CENTER PLLC
Active
Organization
MAPLE STREET COUNSELING CENTER PLLC
Active
Other names
Cognitive Connect Counseling
Organization subpart
No
Provider details
NPI number
Authorized official
LISA MARIE GABEL LPCC-S (OWNER)
(270) 610-0704
Entity
Organization
Contact information
Practice address
95 WARD LN, COTTAGE GROVE, TN 38224-5245
(270) 610-0704
(270) 220-7664
Mailing address
230 TYSON AVE STE B, PMB 199, PARIS, TN 38242-5823
(270) 610-0704
(270) 220-7664
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
—
—
101YM0800X
Mental Health Counselor
—
—
101YP2500X
Professional Counselor
—
—
103K00000X
Behavior Analyst
—
—
103TB0200X
Cognitive & Behavioral Psychologist
—
—
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
—
—
Other
Enumeration date
01/12/2021
Last updated
03/04/2026
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