Organization
CREATIVE COUNSELING AND STUDIO, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
YASMIN S TUCKER LIMHP (PROVIDER/OWNER)
(402) 401-4445
Entity
Organization
Contact information
Practice address
1941 S 42ND ST STE 542, OMAHA, NE 68105-2945
(402) 401-4445
(402) 702-0583
Mailing address
1941 S 42ND ST STE 542, OMAHA, NE 68105-2945
(402) 401-4445
(402) 702-0583
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100267994-01
—
NE
05
—
1043685639
—
NE
Enumeration date
10/08/2019
Last updated
12/18/2023
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