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Organization
CREATIVE COMMUNITY COUNSELING, INC.
Active
Organization
CREATIVE COMMUNITY COUNSELING, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CATHY GHENT LMHC (CLINICAL DIRECTOR)
(863) 226-5081
Entity
Organization
Contact information
Practice address
202 LAKE MIRIAM DR, W6, LAKELAND, FL 33813-2180
(863) 226-5081
Mailing address
202 LAKE MIRIAM DR, LAKELAND, FL 33813-2180
(863) 226-5081
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
251B00000X
Case Management Agency
—
—
251S00000X
Community/Behavioral Health Agency
—
—
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
—
—
Other
Enumeration date
07/16/2015
Last updated
10/21/2024
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