Organization
CREATIVE COUNSELING INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MICHELLE KING (THIRD PARTY)
(504) 669-8451
Entity
Organization
Contact information
Practice address
2809 KIRBY RD, 116, MEMPHIS, TN 38119-8246
(901) 759-4772
Mailing address
2809 KIRBY RD, 116, MEMPHIS, TN 38119-8246
(901) 759-4772
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
—
—
251K00000X
Public Health or Welfare Agency
Primary
—
—
Other
Enumeration date
10/27/2010
Last updated
02/14/2011
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