| Creative Care Counseling | |
|
15900 W 10 Mile Rd Ste 303 Southfield MI 48075-2080 | |
| (248) 521-5051 | |
| Not Available |
| Full Name | Creative Care Counseling |
|---|---|
| Speciality | Counselor |
| Location | 15900 W 10 Mile Rd Ste 303, Southfield, Michigan |
| Authorized Official Name and Position | Jasmine Wilson (OWNER) |
| Authorized Official Contact | 2485215051 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Creative Care Counseling 15900 W 10 Mile Rd Ste 303 Southfield MI 48075-2080 Ph: (248) 521-5051 | Creative Care Counseling 15900 W 10 Mile Rd Ste 303 Southfield MI 48075-2080 Ph: (248) 521-5051 |
| NPI Number | 1962137836 |
|---|---|
| Provider Enumeration Date | 07/23/2022 |
| Last Update Date | 07/23/2022 |
| Certification Date | 07/23/2022 |
| Medicare PECOS PAC ID | 6507202371 |
|---|---|
| Medicare Enrollment ID | O20240314004023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1962137836 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YP2500X | Counselor - Professional | (* (Not Available)) | Primary |
| Provider Name | Jasmine Wilson |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1215578745 PECOS PAC ID: 9234589615 Enrollment ID: I20231227002280 |
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