| Creative Connections, Llc | |
|
6811 Shawnee Mission Pkwy Ste 310 Overland Park KS 66202-4088 | |
| (913) 544-9285 | |
| (913) 229-7511 |
| Full Name | Creative Connections, Llc |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 6811 Shawnee Mission Pkwy Ste 310, Overland Park, Kansas |
| Authorized Official Name and Position | Lori D Peterson (OWNER/THERAPIST) |
| Authorized Official Contact | 9135449285 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Creative Connections, Llc 6811 Shawnee Mission Pkwy Ste 310 Overland Park KS 66202-4088 Ph: (913) 544-9285 | Creative Connections, Llc 6811 Shawnee Mission Pkwy Ste 310 Overland Park KS 66202-4088 Ph: (913) 544-9285 |
| NPI Number | 1033584784 |
|---|---|
| Provider Enumeration Date | 12/07/2015 |
| Last Update Date | 10/09/2024 |
| Certification Date | 10/09/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1033584784 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | LSCSW 4120 (Kansas) | Primary |
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