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Organization

CREATIVE MIND HEALTH, LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MS. JESSICA L WATERS LADC (CLINICAL SUPERVISOR)
(531) 242-8821
Entity
Organization

Contact information

Practice address
7280 NW 87TH TER STE C210, KANSAS CITY, MO 64153-3720
(913) 395-3300
Mailing address
6311 AMES AVE # 1061, OMAHA, NE 68104-2027
(531) 242-8821

Taxonomy

Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary

Other

Enumeration date
10/06/2025
Last updated
02/06/2026
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