# CREEKSIDE THERAPY SERVICES

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

## Provider details

- **NPI number:** 1477088938
- **Authorized official:** TAMARA S. MADDEN LSCSW (SOLE MBR)
- **Authorized official phone:** (620) 200-0234

## Contact information

- **Practice address:** 1531 WILLOW RD, HUTCHINSON, KS 67502-2613
- **Practice address phone:** (620) 200-0234
- **Mailing address:** 1531 WILLOW RD, HUTCHINSON, KS 67502-2613
- **Mailing address phone:** (620) 200-0234

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 1041C0700X | Clinical Social Worker | 3929 | KS | Yes |

## Other

- **Enumeration date:** 04/21/2017
- **Last updated:** 05/10/2017