Organization
CREATIVE CHANGE FAMILY SERVICES LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
NICOLE L ROBERTS LCPC (OWNER CEO)
(701) 526-4885
Entity
Organization
Contact information
Practice address
65 COMMONS WAY, KALISPELL, MT 59901-1908
(701) 526-4885
Mailing address
PO BOX 459, SOMERS, MT 59932-0459
(701) 526-4885
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
—
—
101YP2500X
Professional Counselor
Primary
—
—
Other
Enumeration date
11/20/2019
Last updated
11/20/2019
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