Organization
CREATIVE CONSULTING SERVICES, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. EDWIN MELENDEZ LCSW (PRESIDENT)
(732) 409-3003
Entity
Organization
Contact information
Practice address
67 CRYSTAL ST, AVENEL, NJ 07001-1125
(732) 409-3003
(732) 409-3013
Mailing address
67 CRYSTAL ST, AVENEL, NJ 07001-1125
(732) 409-3003
(732) 409-3013
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
44SC000835400
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0018694
—
NJ
05
—
64664756
—
NJ
Enumeration date
11/05/2006
Last updated
08/22/2020
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