Organization Name: | COLLABORATIVE COUNSELING, LLC |
NPI Number: | 1952401812 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | TAWNA MARIE LEDESMA (CO-DIRECTOR) |
Mailing Address: | 1600 Heritage Landing Suite 116 St. Peters |
State: | MO US |
Postal Code: | 63303 |
Phone Number: | 6363451400 |
Fax Number: | 6364413262 |
NPI Enumeration Date: | 09/22/2006 |
NPI Last Update Date: | 03/18/2010 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 101Y00000X |
License Number: | |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Counselor |
Taxonomy Specialization: | |
Taxonomy Definition: | A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master |