Organization
CREED COUNSELING LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CAROLINE REED (MEMBER)
(740) 804-1526
Entity
Organization
Contact information
Practice address
4086 BROADWAY, GROVE CITY, OH 43123-3025
(740) 804-1526
Mailing address
4086 BROADWAY, GROVE CITY, OH 43123-3025
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
—
—
101YA0400X
Addiction (Substance Use Disorder) Counselor
—
—
207Q00000X
Family Medicine Physician
—
—
207R00000X
Internal Medicine Physician
—
—
2084A0401X
Addiction Medicine (Psychiatry & Neurology) Physician
—
—
2084P0800X
Psychiatry Physician
—
—
251S00000X
Community/Behavioral Health Agency
—
—
261QR0405X
Substance Use Disorder Rehabilitation Clinic/Center
Primary
—
—
Other
Enumeration date
01/05/2020
Last updated
01/05/2020
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