COMMUNITY CHRISTIAN COUNSELING CENTER NPI 1043304918

NPI Information

NPI: 1043304918
Provider Name: COMMUNITY CHRISTIAN COUNSELING CENTER

Former Legal Business Name: COMMUNITY CHRISTAN COUNSELING CENTER OF PALM BEACH COUNTY, INC.

Classification: Counselor - 101YM0800X
Entity Type: Organization

Specialization: Mental Health

Address:
9625 NORTH MILITARY TRAIL
PALM BEACH GARDENS, FL
ZIP 33410
Phone: (561) 622-5423
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COMMUNITY CHRISTIAN COUNSELING CENTER is a mental health counselor in Palm Beach Gardens, FL. COMMUNITY CHRISTIAN COUNSELING CENTER NPI is 1043304918. The provider is registered as an organization entity type and is a multiple single specialty group.
The provider Former Legal Business Name Is Community Christan Counseling Center Of Palm Beach County, Inc..

The provider's business location address is:

9625 NORTH MILITARY TRAIL
PALM BEACH GARDENS, FL
ZIP 33410
Phone: (561) 622-5423
Fax: (561) 622-5467

The provider's authorized official is William G Larrison .
The authorized official title is Executive Director and has the following contact phone number (561) 622-5423.

The enumeration date for this NPI number is 10/3/2006 and was last updated on 12/7/2012.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	101YP1600X	Counselor	Pastoral			No
2	106H00000X	Marriage & Family Therapist		MT 0903	FLORIDA	No
3	101YM0800X	Counselor	Mental Health	MH 7183	FLORIDA	Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

NPI Synchronization or Removal

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