Organization
CREATIVE EXPRESSIONS COUNSELING AND PLAY THERAPY LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. LANA DANIELLE GREENE MA, LPC, NCC, RPT (OWNER)
(678) 469-0349
Entity
Organization
Contact information
Practice address
321 N MAIN ST, SUITE C, ADAIRSVILLE, GA 30103-2438
(678) 469-0349
(770) 773-1500
Mailing address
PO BOX 674, ADAIRSVILLE, GA 30103-0674
(678) 469-0349
(770) 773-1500
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
006484
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1801173646
INDIVIDUAL NPI
GA
Enumeration date
06/08/2014
Last updated
06/08/2014
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