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CHILDREN'S CRISIS PREVENTION NETWORK INC. NPI 1477833135


NPI Information

NPI: 1477833135
Provider Name: CHILDREN'S CRISIS PREVENTION NETWORK, INC.

Doing Business As: COMMUNITY CARE & PREVENTION NETWORK

Classification: Counselor - 101YM0800X
Entity Type: Organization

Specialization: Mental Health

Address:
7479 STATE HIGHWAY 19 S
ATHENS, TX
ZIP 75751
Phone: (903) 677-3220
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CHILDREN'S CRISIS PREVENTION NETWORK, INC. is a mental health counselor in Athens, TX. CHILDREN'S CRISIS PREVENTION NETWORK, INC. NPI is 1477833135. The provider is registered as an organization entity type and is a multi-specialty group.
The provider Is Doing Business As Community Care & Prevention Network.

The provider's business location address is:

7479 STATE HIGHWAY 19 S
ATHENS, TX
ZIP 75751-979
Phone: (903) 677-3220
Fax: (903) 677-0710

The provider's authorized official is Richard Elliott Wagner .
The authorized official title is Lead Therapist and has the following contact phone number (903) 677-3220.

The enumeration date for this NPI number is 8/25/2011 and was last updated on 8/25/2011.


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 CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1101Y00000XCounselorLPA- 12381TEXASNo
2101YA0400XCounselorAddiction (Substance Use Disorder)LCDC- 11123TEXASNo
3101YA0400XCounselorAddiction (Substance Use Disorder)CCDS- 0831-0991TEXASNo
4101YA0400XCounselorAddiction (Substance Use Disorder)LCDC- 6684TEXASNo
5101YA0400XCounselorAddiction (Substance Use Disorder)LCDC- 1066TEXASNo
6101YP2500XCounselorProfessionalLPC- 19613TEXASNo
7101YP2500XCounselorProfessionalLSSP-S 6100-STEXASNo
8101YP2500XCounselorProfessionalLPC- 15979TEXASNo
9101YP2500XCounselorProfessionalLPC- 9187TEXASNo
10101YP2500XCounselorProfessionalLPC- 19349TEXASNo
11101YP2500XCounselorProfessionalLPC- 20058TEXASNo
12101YP2500XCounselorProfessionalLPC-S 13026TEXASNo
13103TS0200XPsychologistSchoolLSSP- 30134TEXASNo
14106H00000XMarriage & Family TherapistLMFT- 000088TEXASNo
15101YM0800XCounselorMental HealthLPC- 20058TEXASYes

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: 4/28/2024

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.