Organization
CREATIVE LIVING CENTER, P.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. DAYTON J. VOGEL ED.D. (CHIEF FINANCIAL OFFICER)
(712) 476-5245
Entity
Organization
Contact information
Practice address
1905 10TH ST, ROCK VALLEY, IA 51247-1630
(712) 476-5245
(712) 476-9621
Mailing address
1905 10TH ST, ROCK VALLEY, IA 51247-1630
(712) 476-5245
(712) 476-9621
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
00226
IA
101Y00000X
Counselor
Primary
00865
IA
1041C0700X
Clinical Social Worker
06099
IA
106H00000X
Marriage & Family Therapist
00002
IA
106H00000X
Marriage & Family Therapist
00041
IA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0451252
—
IA
01
—
37804
GROUP BLUE CROSS
IA
Enumeration date
07/05/2006
Last updated
09/11/2025
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