Provider Demographics
NPI:1548530165
Name:THREE C COUNSELING, LLC
Entity type:Organization
Organization Name:THREE C COUNSELING, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DIRECTOR OF OPERATIONS
Authorized Official - Prefix:
Authorized Official - First Name:TIMOTHY
Authorized Official - Middle Name:
Authorized Official - Last Name:BATDORF
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:419-522-5015
Mailing Address - Street 1:13 PARK AVE W
Mailing Address - Street 2:#605
Mailing Address - City:MANSFIELD
Mailing Address - State:OH
Mailing Address - Zip Code:44902-1714
Mailing Address - Country:US
Mailing Address - Phone:419-522-5015
Mailing Address - Fax:419-522-5017
Practice Address - Street 1:13 PARK AVE W
Practice Address - Street 2:#605
Practice Address - City:MANSFIELD
Practice Address - State:OH
Practice Address - Zip Code:44902-1714
Practice Address - Country:US
Practice Address - Phone:419-522-5015
Practice Address - Fax:419-522-5017
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2012-01-12
Last Update Date:2012-01-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251B00000XAgenciesCase Management