Professional Christian Counseling Center, LLC

Primary specialty

Community/Behavioral Health AgencyTaxonomy code 251S00000X

License

SW8757 Issued in FL

Legal business name

PROFESSIONAL CHRISTIAN COUNSELING CENTER, LLC

Practice address

110 E Reynolds St
Suite 807
Plant City, FL 33563-3361

Phone

(813) 752-7000

Fax

(813) 759-6871

NPI assigned

Jun 2, 2010

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Nancy L. Egbert, LCSW

Title

Owner

Phone

(813) 752-7000

Specialties & licenses 1

Addresses

Locations

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1275436800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1335916800000",
    "number": "1275853111",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "110 E REYNOLDS ST",
            "address_2": "SUITE 807",
            "city": "PLANT CITY",
            "state": "FL",
            "postal_code": "335633361",
            "telephone_number": "813-752-7000",
            "fax_number": "813-759-6871"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "110 E REYNOLDS ST",
            "address_2": "SUITE 807",
            "city": "PLANT CITY",
            "state": "FL",
            "postal_code": "335633361",
            "telephone_number": "813-752-7000",
            "fax_number": "813-759-6871"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PROFESSIONAL CHRISTIAN COUNSELING CENTER, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-06-02",
        "last_updated": "2012-05-02",
        "status": "A",
        "authorized_official_last_name": "EGBERT",
        "authorized_official_first_name": "NANCY",
        "authorized_official_middle_name": "L.",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "813-752-7000",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "FL",
            "license": "SW8757",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Premium Care Medical Associates Inc
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• Primary Care Associates of Plant City PL
• Professional Behavior Analysis Inc
• David E. Provencher Jr., M.D.
• Publix Super Markets Inc
• Publix Super Markets Inc
• Kimberly Pugh, APRN/FNP-C
• Pulmonary & Sleep of Tampa Bay PL

• Community/Behavioral Health Agency in Plant City, FL
• Providers in Plant City, FL by specialty
• Community/Behavioral Health Agency in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 2, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.