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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