Organization
COUNSELING AND CONSULTAION SERVICES, INC.
Active
Parent organization
-
Other names
SteppenStone Youth Treatment Services
Organization subpart
Yes
Provider details
NPI number
Legal business name
-
Authorized official
LAURA MARLENE NEWSOME (ADMINISTRATIVE EXECUTIVE ASSISTANT)
(423) 257-7555
Entity
Organization
Contact information
Practice address
110 STEPPENSTONE BLVD, LIMESTONE, TN 37681-2740
(423) 257-6054
(423) 257-6975
Mailing address
PO BOX 278, LIMESTONE, TN 37681-0278
(423) 257-6054
(423) 257-6975
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
PE0000001390
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
007703716
—
VA
05
—
1503148
—
TN
Enumeration date
10/10/2006
Last updated
03/02/2018
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