Organization
CREATIVE SOLUTIONS GROUP TRAUMA SERVICES LLC
Active
Other names
Creative Solutions Group Counseling Services LLC, Lisa Dorner-Zupancic
Organization subpart
No
Provider details
NPI number
Authorized official
LISA DORNER-ZUPANCIC LPC (OWNER)
(719) 822-1495
Entity
Organization
Contact information
Practice address
14960 WOODCARVER RD STE 101, COLORADO SPRINGS, CO 80921-2370
(719) 822-1495
(719) 960-2766
Mailing address
20370 DRENNAN RD, COLORADO SPRINGS, CO 80928-9514
(719) 822-1495
(719) 960-2766
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
—
—
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
9000149376
—
CO
Enumeration date
04/27/2020
Last updated
06/13/2024
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