Organization Active NPI

Confidential Christian Counseling Center

  • Mental Health Counselor
  • Bradenton, FL
National Provider Identifier
1659579498
Registry record updated Jul 23, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
MH8473 Issued in FL
Legal business name
CONFIDENTIAL CHRISTIAN COUNSELING CENTER
Practice address
6400 Manatee Ave W
Suite E
Bradenton, FL 34209-2378
Phone
(941) 795-7986
Fax
(941) 795-5333
NPI assigned
Jul 3, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 23, 2008

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

Authorized official

Name
Mrs. Mary Ann Galle, LMHCNPI 1992986939
Title
Owner
Phone
(941) 795-7986

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health CounselorGroup: 193200000X MULTI-SPECIALTY GROUP 101YM0800X MH8473 FL Primary

Addresses

Primary practice location

6400 Manatee Ave W
Suite E
Bradenton, FL 34209-2378

Mailing address

6400 Manatee Ave W
Suite E
Bradenton, FL 34209-2378
Phone (941) 795-7986

National Provider Directory

National Provider Directory

Locations

6400 Manatee Ave W
Ste E
Bradenton, FL 34209
Phone (941) 795-7986

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1183420800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1216771200000",
    "number": "1659579498",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6400 MANATEE AVE W",
            "address_2": "SUITE E",
            "city": "BRADENTON",
            "state": "FL",
            "postal_code": "342092378",
            "telephone_number": "941-795-7986",
            "fax_number": "941-795-5333"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6400 MANATEE AVE W",
            "address_2": "SUITE E",
            "city": "BRADENTON",
            "state": "FL",
            "postal_code": "342092378",
            "telephone_number": "941-795-7986",
            "fax_number": "941-795-5333"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CONFIDENTIAL CHRISTIAN COUNSELING CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-07-03",
        "last_updated": "2008-07-23",
        "status": "A",
        "authorized_official_last_name": "GALLE",
        "authorized_official_first_name": "MARY ANN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "941-795-7986",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "LMHC"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Mental Health",
            "state": "FL",
            "license": "MH8473",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bradenton, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 23, 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.