| Creative Changes Counseling Center | |
|
1092 Laskin Rd Suite 100 Virginia Beach VA 23451-6362 | |
| (757) 620-6559 | |
| (757) 422-4162 |
| Full Name | Creative Changes Counseling Center |
|---|---|
| Speciality | Counselor - Professional |
| Location | 1092 Laskin Rd, Virginia Beach, Virginia |
| Authorized Official Name and Position | Stephanie Chrisitne Ohara (CLINICAL DIRECTOR) |
| Authorized Official Contact | 7576206559 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Creative Changes Counseling Center 2725 Shore Dr Virginia Beach VA 23451-1335 Ph: (757) 620-6559 | Creative Changes Counseling Center 1092 Laskin Rd Suite 100 Virginia Beach VA 23451-6362 Ph: (757) 620-6559 |
| NPI Number | 1922213727 |
|---|---|
| Provider Enumeration Date | 05/14/2007 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1922213727 | NPI | - | NPPES |
| 0803162 | Other | OPTIMA PROVIDER NUMBER | |
| 185749 | Other | ANTHEM PROVIDER NUMBER |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YP2500X | Counselor - Professional | 0701002817 (Virginia) | Primary |
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