Provider Demographics
NPI:1528681475
Name:CENTRAL COUNSELING SERVICES PLLC
Entity type:Organization
Organization Name:CENTRAL COUNSELING SERVICES PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:THERAPIST/OWNER
Authorized Official - Prefix:
Authorized Official - First Name:CYNTHIA
Authorized Official - Middle Name:
Authorized Official - Last Name:GABLE
Authorized Official - Suffix:
Authorized Official - Credentials:LCSW
Authorized Official - Phone:831-244-3110
Mailing Address - Street 1:301 S POLK ST STE 640A
Mailing Address - Street 2:
Mailing Address - City:AMARILLO
Mailing Address - State:TX
Mailing Address - Zip Code:79101-1403
Mailing Address - Country:US
Mailing Address - Phone:831-244-3110
Mailing Address - Fax:
Practice Address - Street 1:301 S POLK ST STE 640A
Practice Address - Street 2:
Practice Address - City:AMARILLO
Practice Address - State:TX
Practice Address - Zip Code:79101-1403
Practice Address - Country:US
Practice Address - Phone:831-244-3110
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-05-27
Last Update Date:2023-09-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1041S0200XBehavioral Health & Social Service ProvidersSocial WorkerSchoolGroup - Multi-Specialty