| All Things Creative Therapy Llc | |
|
6490 State Route 14 Ravenna OH 44266-9692 | |
| (330) 501-7658 | |
| Not Available |
| Full Name | All Things Creative Therapy Llc |
|---|---|
| Speciality | Counselor |
| Location | 6490 State Route 14, Ravenna, Ohio |
| Authorized Official Name and Position | Jessica Wallbrown (OWNER/LCPC) |
| Authorized Official Contact | 3305017658 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| All Things Creative Therapy Llc 1786 Mahoning Rd Deerfield OH 44411-9785 Ph: (330) 501-7658 | All Things Creative Therapy Llc 6490 State Route 14 Ravenna OH 44266-9692 Ph: (330) 501-7658 |
| NPI Number | 1295430353 |
|---|---|
| Provider Enumeration Date | 03/30/2023 |
| Last Update Date | 04/22/2024 |
| Certification Date | 04/22/2024 |
| Medicare PECOS PAC ID | 1759733538 |
|---|---|
| Medicare Enrollment ID | O20240117002214 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1295430353 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YP2500X | Counselor - Professional | (* (Not Available)) | Primary |
| Provider Name | Jessica M Wallbrown |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1780019042 PECOS PAC ID: 2668824442 Enrollment ID: I20240117002380 |
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