# CREATIVE COUNSELING INC

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

## Provider details

- **NPI number:** 1568762334
- **Authorized official:** MICHELLE KING (THIRD PARTY)
- **Authorized official phone:** (504) 669-8451

## Contact information

- **Practice address:** 2809 KIRBY RD, 116, MEMPHIS, TN 38119-8246
- **Practice address phone:** (901) 759-4772
- **Mailing address:** 2809 KIRBY RD, 116, MEMPHIS, TN 38119-8246
- **Mailing address phone:** (901) 759-4772

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 101YM0800X | Mental Health Counselor | — | NULL | — |
| 101YM0800X | Mental Health Counselor | — | — | — |
| 251K00000X | Public Health or Welfare Agency | — | NULL | Yes |

## Other

- **Enumeration date:** 10/27/2010
- **Last updated:** 02/14/2011