| Creative Counseling Center, Llc | |
|
408 Highland Ave Ste A Cheshire CT 06410-2525 | |
| (203) 215-6125 | |
| (203) 288-7485 |
| Full Name | Creative Counseling Center, Llc |
|---|---|
| Speciality | Counselor - Addiction (substance Use Disorder) |
| Location | 408 Highland Ave Ste A, Cheshire, Connecticut |
| Authorized Official Name and Position | Frank J Chovitz (OWNER) |
| Authorized Official Contact | 2032156125 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Creative Counseling Center, Llc 408 Highland Ave Ste A Cheshire CT 06410-2525 Ph: (203) 215-6125 | Creative Counseling Center, Llc 408 Highland Ave Ste A Cheshire CT 06410-2525 Ph: (203) 215-6125 |
| NPI Number | 1386876738 |
|---|---|
| Provider Enumeration Date | 08/19/2009 |
| Last Update Date | 08/19/2009 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1386876738 | NPI | - | NPPES |
| 004240008 | Medicaid | CT |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YA0400X | Counselor - Addiction (substance Use Disorder) | 000063 (Connecticut) | Primary |
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