| Creative Change Counseling, Inc. | |
|
322 E 5th St Lakewood NJ 08701-3415 | |
| (609) 668-4719 | |
| (609) 667-7944 |
| Full Name | Creative Change Counseling, Inc. |
|---|---|
| Speciality | Clinic/center - Mental Health (including Community Mental Health Center) |
| Location | 322 E 5th St, Lakewood, New Jersey |
| Authorized Official Name and Position | Bertee Thomas (CEO) |
| Authorized Official Contact | 6096677353 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Creative Change Counseling, Inc. 668 Main St Lumberton NJ 08048-5016 Ph: (609) 668-4719 | Creative Change Counseling, Inc. 322 E 5th St Lakewood NJ 08701-3415 Ph: (609) 668-4719 |
| NPI Number | 1508437179 |
|---|---|
| Provider Enumeration Date | 07/06/2021 |
| Last Update Date | 07/06/2021 |
| Certification Date | 07/06/2021 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1508437179 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0801X | Clinic/center - Mental Health (including Community Mental Health Center) | (* (Not Available)) | Primary |
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