| Center For Creative Life Solutions, Llc | |
|
109 Rhode Island Rd Ste 4b Lakeville MA 02347-1370 | |
| (508) 203-6908 | |
| (508) 796-1468 |
| Full Name | Center For Creative Life Solutions, Llc |
|---|---|
| Speciality | Counselor - Mental Health |
| Location | 109 Rhode Island Rd Ste 4b, Lakeville, Massachusetts |
| Authorized Official Name and Position | Jennifer Lee Laurenza (OWNER) |
| Authorized Official Contact | 5087899168 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Center For Creative Life Solutions, Llc 109 Rhode Island Rd Ste 4b Lakeville MA 02347-1370 Ph: (508) 203-6908 | Center For Creative Life Solutions, Llc 109 Rhode Island Rd Ste 4b Lakeville MA 02347-1370 Ph: (508) 203-6908 |
| NPI Number | 1629584321 |
|---|---|
| Provider Enumeration Date | 12/18/2017 |
| Last Update Date | 09/22/2023 |
| Certification Date | 09/22/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1629584321 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | (* (Not Available)) | Primary |
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