Organization
COMMUNITY COUNSELING CENTER LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MICKEY LEWIS (OWNER)
(270) 776-4751
Entity
Organization
Contact information
Practice address
509 W 9TH STREET, HOPKINSVILLE, KY 42240-2133
(270) 886-1515
(270) 885-9232
Mailing address
509 W 9TH ST, HOPKINSVILLE, KY 42240
(270) 886-1515
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
11/22/2014
Last updated
02/28/2024
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