Organization
CCC THERAPY CENTER LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ALISA R COX LCSW (DIRECTOR/THERAPIST)
(812) 413-2468
Entity
Organization
Contact information
Practice address
5135 E POLK RD, LEXINGTON, IN 47138-8863
(812) 820-9643
Mailing address
5135 E POLK RD, LEXINGTON, IN 47138-8863
(812) 413-2468
(812) 889-8499
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
—
—
1041C0700X
Clinical Social Worker
Primary
34007858A
IN
1041C0700X
Clinical Social Worker
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
300031901
—
IN
Enumeration date
05/07/2018
Last updated
04/16/2026
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