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NPI Code Detail

MEDICARE: CCM COUNSELING LLC

MEDICARE: CCM COUNSELING LLC
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
11041C0700XClinical Social Worker

General Provider Information

NPI Number : 1083548218
Entity Type Code : Organization
Provider Name (Legal Business Name) : CCM COUNSELING LLC
Provider Business Mailing Address
First Line : 226 LEE DR
Second Line :
City : AUBURN
State : AL
Zip : 36832-6722
Country : US
Telephone Number : 334-728-9555
Fax Number :
Provider Business Practice Location Address
First Line : 601 AVENUE A
Second Line :
City : OPELIKA
State : AL
Zip : 36801-5061
Country : US
Telephone Number : 334-728-9555
Fax Number :
Authorized Official
Title or Position : LICSW
Name : CAROLYN COLEY MILLER
Credential : LICSW
Telephone Number : 334-728-9555
Provider Enumeration Date : 06/11/2026
Last Update Date : 06/11/2026

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Directions to “CCM COUNSELING LLC ” Practice Location

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