Organization
CENTER FOR CREATIVE CHANGE, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. KAY MATTINGLY LANGLOIS LCSW, LMFT (PRESIDENT)
(317) 845-5133
Entity
Organization
Contact information
Practice address
100 NORTHLAND ST, FISHERS, IN 46038-1147
(317) 845-5133
(317) 845-5133
Mailing address
100 NORTHLAND ST, FISHERS, IN 46038-1147
(317) 845-5133
(317) 845-5133
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
34002187
IN
Other
Enumeration date
01/11/2007
Last updated
02/16/2021
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