Organization
COMMUNITY CARE COUNSELING INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
STEVEN CARTER (CEO)
(301) 312-4018
Entity
Organization
Contact information
Practice address
2629 S GRAND PENINSULA DR APT 2010, GRAND PRAIRIE, TX 75054-7301
(301) 312-4018
Mailing address
9400 GRAND BLVD APT 1275, UPPER MARLBORO, MD 20774-2646
(301) 312-4018
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
—
—
101YM0800X
Mental Health Counselor
Primary
—
—
251B00000X
Case Management Agency
—
—
251S00000X
Community/Behavioral Health Agency
—
—
Other
Enumeration date
11/16/2018
Last updated
07/08/2019
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