# CREATIVE COUNSELING SERVICES

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1164575288
- **Authorized official:** MS. ASHA PATLIKH MS, MFT (OWNER)
- **Authorized official phone:** (860) 529-8977

## Contact information

- **Practice address:** 21 RHODES RD, ROCKY HILL, CT 06067-1856
- **Practice address phone:** (860) 257-1865
- **Practice address fax:** (860) 257-1865
- **Mailing address:** 21 RHODES RD, ROCKY HILL, CT 06067-1856
- **Mailing address phone:** (860) 257-1865
- **Mailing address fax:** (860) 257-1865

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 106H00000X | Marriage & Family Therapist | 000921 | CT | Yes |

## Other

- **Enumeration date:** 01/19/2007
- **Last updated:** 06/17/2014

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | 351220 | MHN | CT |
| 01 | — | 410000921CT03 | ANTHEM | CT |
| 01 | — | 7760595 | AETNA | CT |