| Community Counseling Center | |
|
402 S Silver Springs Rd Cape Girardeau MO 63703-7536 | |
| (573) 334-1100 | |
| (573) 334-5531 |
| Full Name | Community Counseling Center |
|---|---|
| Speciality | Clinic/center - Adult Mental Health |
| Location | 402 S Silver Springs Rd, Cape Girardeau, Missouri |
| Authorized Official Name and Position | Lisa Tolbert (CHIEF OPERATING OFFICER) |
| Authorized Official Contact | 5733341100 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Community Counseling Center 402 S Silver Springs Rd Cape Girardeau MO 63703-7536 Ph: (573) 334-1100 | Community Counseling Center 402 S Silver Springs Rd Cape Girardeau MO 63703-7536 Ph: (573) 334-1100 |
| NPI Number | 1427192038 |
|---|---|
| Provider Enumeration Date | 02/16/2007 |
| Last Update Date | 09/28/2021 |
| Certification Date | 09/28/2021 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1427192038 | NPI | - | NPPES |
| 876174111 | Medicaid | MO |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0850X | Clinic/center - Adult Mental Health | 2907523 (Missouri) | Primary |
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