Organization
CREATIVE HEALING STUDIO LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
HOPE CECELIA FOWLER MA, LPCC (OWNER)
(802) 734-0538
Entity
Organization
Contact information
Practice address
4004 CARLISLE BLVD NE STE P, ALBUQUERQUE, NM 87107-4544
(802) 734-0538
Mailing address
4004 CARLISLE BLVD NE STE P, ALBUQUERQUE, NM 87107-4544
(802) 734-0538
Taxonomy
Speciality
Code
Description
License number
State
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
—
—
Other
Enumeration date
11/03/2021
Last updated
03/22/2022
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