Provider Demographics
NPI:1417764622
Name:COLLABORATIVE CARE COUNSELING AND EDUCATION SERVICES, LLC
Entity type:Organization
Organization Name:COLLABORATIVE CARE COUNSELING AND EDUCATION SERVICES, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:ALMA
Authorized Official - Middle Name:
Authorized Official - Last Name:LOVINS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:614-440-2621
Mailing Address - Street 1:311 DELLFIELD WAY
Mailing Address - Street 2:
Mailing Address - City:COLUMBUS
Mailing Address - State:OH
Mailing Address - Zip Code:43230-3223
Mailing Address - Country:US
Mailing Address - Phone:614-440-2621
Mailing Address - Fax:
Practice Address - Street 1:311 DELLFIELD WAY
Practice Address - Street 2:
Practice Address - City:COLUMBUS
Practice Address - State:OH
Practice Address - Zip Code:43230-3223
Practice Address - Country:US
Practice Address - Phone:614-440-2621
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-12-12
Last Update Date:2025-01-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinicalGroup - Multi-Specialty
No103K00000XBehavioral Health & Social Service ProvidersBehavior AnalystGroup - Multi-Specialty
No1041S0200XBehavioral Health & Social Service ProvidersSocial WorkerSchoolGroup - Multi-Specialty