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Organization

CREATIVE MENTAL HEALTH, LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
ELEN MICHELE SPROLE LCPC (OWNER)
(702) 499-3456
Entity
Organization

Contact information

Practice address
701 N GREEN VALLEY PKWY, SUITE 200, HENDERSON, NV 89074-6177
(702) 499-3456
(702) 946-0830
Mailing address
2852 KINKNOCKIE WAY, HENDERSON, NV 89044-0250
(702) 499-3456
(702) 946-0830

Taxonomy

Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
CP0006
NV
101YP2500X
Professional Counselor
CP0006
NV

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
100520257
NV
Enumeration date
04/13/2011
Last updated
04/13/2011
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