Organization
CREATIVE FLAME COUNSELING LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. YVETTE ROXANNE TOLBERT PHD, LPC-S, LPC (OWNER/MANAGER)
(803) 802-4444
Entity
Organization
Contact information
Practice address
1823 APPLE TREE LN, FORT MILL, SC 29715-9791
(803) 802-4444
Mailing address
PO BOX 728, BOWLING GREEN, SC 29703-0728
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
—
—
101YM0800X
Mental Health Counselor
Primary
—
—
221700000X
Art Therapist
—
—
Other
Enumeration date
07/27/2021
Last updated
07/27/2021
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