| Creative Change Counseling | |
|
774 Eayrestown Rd Ste 204 Lumberton NJ 08048-3100 | |
| (609) 668-4719 | |
| Not Available |
| Full Name | Creative Change Counseling |
|---|---|
| Speciality | Clinic/Center |
| Location | 774 Eayrestown Rd Ste 204, Lumberton, New Jersey |
| Authorized Official Name and Position | Bertee Thomas (CEO) |
| Authorized Official Contact | 6096677353 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Creative Change Counseling 774 Eayrestown Rd Ste 204 Lumberton NJ 08048-3100 Ph: (609) 668-4719 | Creative Change Counseling 774 Eayrestown Rd Ste 204 Lumberton NJ 08048-3100 Ph: (609) 668-4719 |
| NPI Number | 1841813722 |
|---|---|
| Provider Enumeration Date | 05/26/2020 |
| Last Update Date | 05/26/2020 |
| Certification Date | 05/26/2020 |
| Medicare PECOS PAC ID | 9739587486 |
|---|---|
| Medicare Enrollment ID | O20211011000372 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1841813722 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0850X | Clinic/center - Adult Mental Health | (* (Not Available)) | Secondary |
| 261QM0855X | Clinic/center - Adolescent And Children Mental Health | (* (Not Available)) | Primary |
| Provider Name | Caroline A Washington |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1467623223 PECOS PAC ID: 7517980329 Enrollment ID: I20060107000007 |
| Provider Name | Letisha L Hogans |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1043872765 PECOS PAC ID: 4082044433 Enrollment ID: I20200427000130 |
| Provider Name | Gabriel Essilfie |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1124700679 PECOS PAC ID: 9032573498 Enrollment ID: I20230919000098 |
| Provider Name | Ngozi Attracta Ochiora |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1699349399 PECOS PAC ID: 5496101701 Enrollment ID: I20231023003149 |
Twin Oaks Community Services, Inc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 79 Chestnut St, Lumberton, NJ 08048 Phone: 609-267-5928 | |
Brighter Days Ahead Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 774 Eayrestown Rd Ste 204, Lumberton, NJ 08048 Phone: 609-667-7353 Fax: 609-667-7944 | |
Newsome Psychological Services Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 1632 Route 38, Suite A, Lumberton, NJ 08048 Phone: 609-702-5880 Fax: 609-702-5882 | |
Oaks Integrated Care Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 1 Marriott Dr, Lumberton, NJ 08048 Phone: 609-267-5928 | |
Advocating Counseling Enrichment And Development Llc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 41 Bridge Rd, Lumberton, NJ 08048 Phone: 609-261-4028 Fax: 609-201-4029 | |
Burlington County Therapy Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 774 Eayrestown Rd, Suite 202, Lumberton, NJ 08048 Phone: 609-914-1700 | |
Creative Change Counseling, Inc. Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 774 Eayrestown Rd, Lumberton, NJ 08048 Phone: 609-668-4719 |