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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