| C.r.e.a.t.e. Center For Expressive Arts,therapy And Education,p.l.l.c. | |
|
141 Union St Manchester NH 03103-5563 | |
| (603) 625-0010 | |
| (603) 625-0075 |
| Full Name | C.r.e.a.t.e. Center For Expressive Arts,therapy And Education,p.l.l.c. |
|---|---|
| Speciality | Counselor |
| Location | 141 Union St, Manchester, New Hampshire |
| Authorized Official Name and Position | Steven William Durost (EXECUTIVE DIRECTOR/OWNER) |
| Authorized Official Contact | 6036250010 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| C.r.e.a.t.e. Center For Expressive Arts,therapy And Education,p.l.l.c. 141 Union St Manchester NH 03103-5563 Ph: (603) 625-0010 | C.r.e.a.t.e. Center For Expressive Arts,therapy And Education,p.l.l.c. 141 Union St Manchester NH 03103-5563 Ph: (603) 625-0010 |
| NPI Number | 1083944326 |
|---|---|
| Provider Enumeration Date | 01/08/2010 |
| Last Update Date | 02/19/2024 |
| Certification Date | 02/19/2024 |
| Medicare PECOS PAC ID | 0941334197 |
|---|---|
| Medicare Enrollment ID | O20100810000843 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1083944326 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | 605 (New Hampshire) | Primary |
| Provider Name | Jane Pinard |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1538335047 PECOS PAC ID: 2062750490 Enrollment ID: I20190211002081 |
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