Provider Demographics
NPI:1174188197
Name:COMPREHENSIVE COUNSELING SERVICES, LLC
Entity type:Organization
Organization Name:COMPREHENSIVE COUNSELING SERVICES, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:LMHC, REGISTERED AGENT, OWNER
Authorized Official - Prefix:
Authorized Official - First Name:DEBORAH
Authorized Official - Middle Name:MICHELLE
Authorized Official - Last Name:TROSTEN
Authorized Official - Suffix:
Authorized Official - Credentials:LMHC
Authorized Official - Phone:352-514-0810
Mailing Address - Street 1:5333 SW 75TH ST APT H51
Mailing Address - Street 2:
Mailing Address - City:GAINESVILLE
Mailing Address - State:FL
Mailing Address - Zip Code:32608-7449
Mailing Address - Country:US
Mailing Address - Phone:352-514-0810
Mailing Address - Fax:
Practice Address - Street 1:5333 SW 75TH ST APT H51
Practice Address - Street 2:
Practice Address - City:GAINESVILLE
Practice Address - State:FL
Practice Address - Zip Code:32608-7449
Practice Address - Country:US
Practice Address - Phone:352-514-0810
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-05-06
Last Update Date:2019-05-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental HealthGroup - Single Specialty