Certified Counseling Services, Inc. of Clinton

Primary specialty

Comprehensive Outpatient Rehabilitation Facility (CORF)Taxonomy code 261QR0401X

License

10166201 Issued in MD

Legal business name

CERTIFIED COUNSELING SERVICES, INC. OF CLINTON

Doing business as

Centre

Practice address

7911 Old Branch Ave
Second Floor
Clinton, MD 20735-1635

Phone

(301) 599-0992

NPI assigned

Jun 12, 2007

Organization subpart

No

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

Authorized official

Name

Mr. Furman Bernard Williams, MHS, LPC, LCADC

Title

Executive Director

Phone

(301) 599-0992

Specialties & licenses 1

Addresses

Other names 1

• Centre Doing business as

Locations

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

{
    "created_epoch": "1181606400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1218412800000",
    "number": "1598969792",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7911 OLD BRANCH AVE",
            "address_2": "SECOND FLOOR",
            "city": "CLINTON",
            "state": "MD",
            "postal_code": "207351635",
            "telephone_number": "301-599-0992"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7911 OLD BRANCH AVE",
            "address_2": "SECOND FLOOR",
            "city": "CLINTON",
            "state": "MD",
            "postal_code": "207351635",
            "telephone_number": "301-599-0992"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CERTIFIED COUNSELING SERVICES, INC. OF CLINTON",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-06-12",
        "last_updated": "2008-08-11",
        "status": "A",
        "authorized_official_last_name": "WILLIAMS",
        "authorized_official_first_name": "FURMAN",
        "authorized_official_middle_name": "BERNARD",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "301-599-0992",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "MHS, LPC, LCADC"
    },
    "taxonomies": [
        {
            "code": "261QR0401X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rehabilitation, Comprehensive Outpatient Rehabilitation Facility (CORF)",
            "state": "MD",
            "license": "10166201",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Centre",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Comprehensive Outpatient Rehabilitation Facility (CORF) in Clinton, MD
• Providers in Clinton, MD by specialty
• Comprehensive Outpatient Rehabilitation Facility (CORF) in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 11, 2008; 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.