Provider Demographics
NPI:1962199562
Name:C&C COUNSELING AND COACHING, PLLC
Entity type:Organization
Organization Name:C&C COUNSELING AND COACHING, PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PSYCHOTHERAPIST/ MANAGING MEMBER
Authorized Official - Prefix:MS
Authorized Official - First Name:CHANTE
Authorized Official - Middle Name:
Authorized Official - Last Name:CROSS
Authorized Official - Suffix:
Authorized Official - Credentials:MA, LPC, CLC
Authorized Official - Phone:347-377-0862
Mailing Address - Street 1:750 PORT ST APT 928
Mailing Address - Street 2:
Mailing Address - City:ALEXANDRIA
Mailing Address - State:VA
Mailing Address - Zip Code:22314-2490
Mailing Address - Country:US
Mailing Address - Phone:347-377-0862
Mailing Address - Fax:757-720-3517
Practice Address - Street 1:750 PORT ST APT 928
Practice Address - Street 2:
Practice Address - City:ALEXANDRIA
Practice Address - State:VA
Practice Address - Zip Code:22314-2490
Practice Address - Country:US
Practice Address - Phone:347-377-0862
Practice Address - Fax:757-720-3517
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-04-24
Last Update Date:2024-04-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261Q00000XAmbulatory Health Care FacilitiesClinic/Center
No261QM0801XAmbulatory Health Care FacilitiesClinic/CenterMental Health (Including Community Mental Health Center)
No261QM0850XAmbulatory Health Care FacilitiesClinic/CenterAdult Mental Health
No261QM0855XAmbulatory Health Care FacilitiesClinic/CenterAdolescent and Children Mental Health