COMMUNITY CHRISTIAN COUNSELING CENTER NPI 1164554887

NPI Information

NPI: 1164554887
Provider Name: COMMUNITY CHRISTIAN COUNSELING CENTER

Former Legal Business Name: CHAPEL BY THE LAKE SAMARITAN COUNSELING CENTER INC

Classification: Counselor - 101YM0800X
Entity Type: Organization

Specialization: Mental Health

Address:
11024 AUKE LAKE WAY
JUNEAU, AK
ZIP 99801
Phone: (907) 789-9055
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COMMUNITY CHRISTIAN COUNSELING CENTER is a mental health counselor in Juneau, AK. COMMUNITY CHRISTIAN COUNSELING CENTER NPI is 1164554887. The provider is registered as an organization entity type and is a single specialty group.
The provider Former Legal Business Name Is Chapel By The Lake Samaritan Counseling Center Inc.

The provider's business location address is:

11024 AUKE LAKE WAY
JUNEAU, AK
ZIP 99801
Phone: (907) 789-9055
Fax: (907) 789-2917

The provider's authorized official is Elizabeth Davis Belflower .
The authorized official title is President Of Board and has the following contact phone number (907) 789-2595.

The enumeration date for this NPI number is 3/9/2007 and was last updated on 7/25/2008.

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	101YM0800X	Counselor	Mental Health	299221	ALASKA	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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