Organization
CREEKSIDE COUNSELING GROUP LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
HEATHER RENEE MURPHY LMSW (OWNER)
(810) 422-3708
Entity
Organization
Contact information
Practice address
10683 S SAGINAW ST STE B, GRAND BLANC, MI 48439-8127
(810) 771-4074
(810) 866-4450
Mailing address
10683 S SAGINAW ST STE B, GRAND BLANC, MI 48439-8127
(810) 771-4074
(810) 866-4450
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
—
—
101YM0800X
Mental Health Counselor
—
—
101YP2500X
Professional Counselor
—
—
103TC0700X
Clinical Psychologist
—
—
104100000X
Social Worker
—
—
1041C0700X
Clinical Social Worker
Primary
—
—
106H00000X
Marriage & Family Therapist
—
—
363AM0700X
Medical Physician Assistant
—
—
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
—
—
Other
Enumeration date
05/04/2021
Last updated
08/22/2023
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