| Creative Counseling & Consultation | |
|
110 Village Dr Elizabethtown KY 42701-2423 | |
| (270) 594-1199 | |
| Not Available |
| Full Name | Creative Counseling & Consultation |
|---|---|
| Speciality | Clinic/center - Multi-specialty |
| Location | 110 Village Dr, Elizabethtown, Kentucky |
| Authorized Official Name and Position | Christopher Longoria (CO-OWNER) |
| Authorized Official Contact | 2708723540 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Creative Counseling & Consultation 1518 Yorkshire Dr Elizabethtown KY 42701-9191 Ph: (270) 872-3540 | Creative Counseling & Consultation 110 Village Dr Elizabethtown KY 42701-2423 Ph: (270) 594-1199 |
| NPI Number | 1568116002 |
|---|---|
| Provider Enumeration Date | 02/03/2022 |
| Last Update Date | 11/17/2023 |
| Certification Date | 11/17/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1568116002 | NPI | - | NPPES |
| 7100819490 | Medicaid | KY |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | (* (Not Available)) | Secondary |
| 261QM1300X | Clinic/center - Multi-specialty | (* (Not Available)) | Primary |
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