Organization
CREATIVE FAMILY COUNSELING AND COACHING, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
REBECCA MUYRES LPC, RPT-S, CPCS (OWNER/TRILINGUAL FAMILY THERAPIST)
(770) 648-2500
Entity
Organization
Contact information
Practice address
4315 S LEE ST STE 100, BUFORD, GA 30518-5746
(770) 648-2500
(470) 466-0500
Mailing address
4330 S LEE ST STE 600-A, BUFORD, GA 30518-3072
(770) 648-2500
(470) 466-0500
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
003186839A
—
GA
Enumeration date
09/01/2017
Last updated
10/21/2022
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