| Creative Consulting Services, Inc. | |
|
67 Crystal St Avenel NJ 07001-1125 | |
| (732) 409-3003 | |
| (732) 409-3013 |
| Full Name | Creative Consulting Services, Inc. |
|---|---|
| Speciality | Social Worker - Clinical |
| Location | 67 Crystal St, Avenel, New Jersey |
| Authorized Official Name and Position | Edwin Melendez (PRESIDENT) |
| Authorized Official Contact | 7324093003 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Creative Consulting Services, Inc. 67 Crystal St Avenel NJ 07001-1125 Ph: (732) 409-3003 | Creative Consulting Services, Inc. 67 Crystal St Avenel NJ 07001-1125 Ph: (732) 409-3003 |
| NPI Number | 1124107545 |
|---|---|
| Provider Enumeration Date | 11/05/2006 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1124107545 | NPI | - | NPPES |
| 64664756 | Medicaid | NJ | |
| 0018694 | Medicaid | NJ |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | 44SC000835400 (New Jersey) | Primary |
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