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Organization
MARY S STRONG CREATIVE COMMUNITY COUNSELING
Active
Organization
MARY S STRONG CREATIVE COMMUNITY COUNSELING
Active
Parent organization
CREATIVE COMMUNITY COUNSELING LLC
Organization subpart
Yes
Provider details
NPI number
Legal business name
CREATIVE COMMUNITY COUNSELING LLC
Authorized official
MARY SOSONYA STRONG RSW, LPC, RPT, CAS (CEO)
(318) 288-2686
Entity
Organization
Contact information
Practice address
719 S AUSTIN ST, AMARILLO, TX 79106-6714
(318) 350-6767
(318) 350-6767
Mailing address
731 ACKLEN ST, SHREVEPORT, LA 71104-3901
(318) 288-2686
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1043842750
—
LA
05
—
2832407
—
TX
05
—
28327407
—
TX
Enumeration date
02/11/2020
Last updated
12/10/2021
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