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Organization

CREATIVE PSYCHOLOGICAL SERVICES, PLLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. NICOLE MICHELE HOFFMAN MILLER PSYD (OWNER/CEO)
(540) 759-0037
Entity
Organization

Contact information

Practice address
2700 EXECUTIVE PARK NW STE A, CLEVELAND, TN 37312-2770
(540) 418-0105
(540) 404-2126
Mailing address
4423 SUSANNA CT, FARMVILLE, NC 27828-8530
(540) 759-0037
(540) 404-2126

Taxonomy

Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
103TC0700X
Clinical Psychologist
103TC2200X
Clinical Child & Adolescent Psychologist

Other

Enumeration date
08/26/2022
Last updated
10/27/2025
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