Provider Demographics
NPI:1316730104
Name:CARREFOUR COUNSELING & PLAY THERAPY LLC
Entity type:Organization
Organization Name:CARREFOUR COUNSELING & PLAY THERAPY LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:CHRISTOPHER
Authorized Official - Middle Name:LEE
Authorized Official - Last Name:BELCHER
Authorized Official - Suffix:
Authorized Official - Credentials:LPC
Authorized Official - Phone:276-266-7513
Mailing Address - Street 1:4095 HIGHWAY 321
Mailing Address - Street 2:
Mailing Address - City:BUTLER
Mailing Address - State:TN
Mailing Address - Zip Code:37640-5408
Mailing Address - Country:US
Mailing Address - Phone:276-266-7513
Mailing Address - Fax:
Practice Address - Street 1:348 W ELK AVE
Practice Address - Street 2:
Practice Address - City:ELIZABETHTON
Practice Address - State:TN
Practice Address - Zip Code:37643-2614
Practice Address - Country:US
Practice Address - Phone:423-922-7258
Practice Address - Fax:855-877-4676
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-05-26
Last Update Date:2025-05-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251S00000XAgenciesCommunity/Behavioral Health