Organization
CREATIVE CHANGE COUNSELING
Active
Parent organization
CREATIVE CHANGE COUNSELING
Organization subpart
Yes
Provider details
NPI number
Legal business name
CREATIVE CHANGE COUNSELING
Authorized official
DR. BERTEE THOMAS JR. PSY. D. (CEO)
(609) 667-7353
Entity
Organization
Contact information
Practice address
2840 ROLLING FORK WAY, GLENWOOD, MD 21738-9746
(609) 668-4719
(609) 667-7944
Mailing address
668 MAIN ST, LUMBERTON, NJ 08048-5016
(609) 668-4719
(609) 667-7944
Taxonomy
Speciality
Code
Description
License number
State
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
—
—
Other
Enumeration date
08/16/2022
Last updated
07/31/2023
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