Connective Clinical Counseling
Organization Active NPI Adult Mental Health Clinic/Center · Syracuse, OH
NPI 1770158792 · NPPES record last updated May 21, 2021
Key facts
- NPI
- 1770158792
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Adult Mental Health Clinic/Center 261QM0850X
- Legal business name
- CONNECTIVE CLINICAL COUNSELING
- Practice address
- 2377 Fourth Street
Syracuse, OH 45779 - Phone
- (740) 247-5463
- NPI assigned
- May 21, 2021
- Organization subpart
- No
Authorized official
- Name
- Trisha Gibson, MA, LPCC, LICDC
- Title
- Psychotherapist
- Phone
- (740) 247-5463
Corporate family (same tax ID) 1
Practitioners 1
-
Trisha Owsley, LPCC, LICDC
National Provider Directory
- Tax ID family
- Connective Clinical Counseling
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Adult Mental Health Clinic/Center | 261QM0850X | Yes |
Addresses
Primary practice location
2377 Fourth Street
Syracuse, OH 45779
Mailing address
PO Box 134
Syracuse, OH 45779-0134
Phone (740) 247-5463
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0439139 | Medicaid | OH |
Other names
- Connective Clinical Counseling
Electronic endpoints
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| CONNECT URL | counseling@connectiveclinical.sprucecare.com | Direct |
Other providers in Syracuse, OH
- Connective Clinical Counseling, LLC
- Connective Clinical Wellness
- Meigs County Board of Developmental Disabilities
- Meigs County Board of MRDD
- Angela Lynn Minshall
All providers in Syracuse, OH · Adult Mental Health Clinic/Center in Ohio
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on May 21, 2021. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.