Organization
COMMUNITY COUNSELING SERVICES LLC
Active
Organization
COMMUNITY COUNSELING SERVICES LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. DEWANA LYNN HALL MHS LPC CAC CCJP (AGENCY DIRECTOR)
(717) 845-2425
Entity
Organization
Contact information
Practice address
239 W PHILADELPHIA ST, YORK, PA 17401
(717) 845-2425
(717) 845-2682
Mailing address
PO BOX 7726, YORK, PA 17404-0726
(717) 845-2425
(717) 845-2682
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
—
—
2084P0800X
Psychiatry Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0007120286
AETNA
PA
01
—
0007140200
AETNA
PA
01
—
001636224
BLUE SHIELD
PA
01
—
004415
VALUE OPTIONS
PA
05
—
10009989660001
—
PA
05
—
1009989660002
—
PA
01
—
1073576278
UNITED BEHAVIORAL HEALTH
PA
01
—
1201648
AETNA
PA
01
—
1376652487
UNITED BEHAVIORAL HEALTH
PA
01
—
1504909
GATEWAY HEALTH PLAN
PA
01
—
1567799
GATEWAY HEALTH PLAN
PA
01
—
171061000
MAGELLAN
PA
01
—
2009773000
MAGELLAN
PA
01
—
50042879
BLUE CROSS
PA
Enumeration date
09/06/2006
Last updated
09/10/2009
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