Organization
COMMUNITY COUNSELING AND CRISIS CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. CAROLYN BARKER (EXECUTIVE DIRECTOR)
(513) 523-4149
Entity
Organization
Contact information
Practice address
110 S COLLEGE AVE, OXFORD, OH 45056-1738
(513) 523-4149
(513) 523-4145
Mailing address
110 S COLLEGE AVE, OXFORD, OH 45056-1738
(513) 523-4149
(513) 523-4145
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
0061
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000005073
ANTHEM BC/BS
OH
01
—
185955000
MAGELLAN BEHAVIORAL
OH
05
—
200026690A
—
IN
Enumeration date
05/09/2006
Last updated
09/23/2011
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