Organization
CREATIVE CONNECTIONS COMPREHENSIVE SERVICES, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. SHARRON CROSS LPC (LICENSED PROFESSIONAL COUNSELOR)
(404) 704-2653
Entity
Organization
Contact information
Practice address
798 RAYS RD, SUITE 98, STONE MOUNTAIN, GA 30083-3144
(404) 704-2653
(404) 745-8273
Mailing address
PO BOX 495, AVONDALE EST, GA 30002-0495
(404) 704-2653
(404) 745-8273
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
006271
GA
Other
Enumeration date
09/05/2012
Last updated
04/29/2013
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