| Creative Counseling Group, Plc | |
|
3801 River Ridge Dr Ne Cedar Rapids IA 52402-7590 | |
| (319) 200-1022 | |
| Not Available |
| Full Name | Creative Counseling Group, Plc |
|---|---|
| Speciality | Counselor |
| Location | 3801 River Ridge Dr Ne, Cedar Rapids, Iowa |
| Authorized Official Name and Position | Joan Deluhery-wagemester (CO-OWNER/PROVIDER) |
| Authorized Official Contact | 3192001022 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Creative Counseling Group, Plc 3801 River Ridge Dr Ne Cedar Rapids IA 52402-7590 Ph: (319) 200-1022 | Creative Counseling Group, Plc 3801 River Ridge Dr Ne Cedar Rapids IA 52402-7590 Ph: (319) 200-1022 |
| NPI Number | 1598274599 |
|---|---|
| Provider Enumeration Date | 09/22/2017 |
| Last Update Date | 10/10/2023 |
| Certification Date | 10/10/2023 |
| Medicare PECOS PAC ID | 1658619028 |
|---|---|
| Medicare Enrollment ID | O20190208002922 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1598274599 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | (* (Not Available)) | Primary |
| Provider Name | Kayla R Orr |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1962752667 PECOS PAC ID: 8123304615 Enrollment ID: I20170418001102 |
| Provider Name | Joan M Deluhery-wagemester |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1124478573 PECOS PAC ID: 6204176670 Enrollment ID: I20190321001673 |
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