| Creative Counseling Llc | |
|
3 N Harrison St Ste 200 Easton MD 21601-3188 | |
| (443) 528-5067 | |
| Not Available |
| Full Name | Creative Counseling Llc |
|---|---|
| Speciality | Social Worker |
| Location | 3 N Harrison St Ste 200, Easton, Maryland |
| Authorized Official Name and Position | Coleen Lynn (OWNER) |
| Authorized Official Contact | 4435285067 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Creative Counseling Llc 3 N Harrison St Ste 204 Easton MD 21601-3146 Ph: (443) 220-4179 | Creative Counseling Llc 3 N Harrison St Ste 200 Easton MD 21601-3188 Ph: (443) 528-5067 |
| NPI Number | 1326662156 |
|---|---|
| Provider Enumeration Date | 06/08/2020 |
| Last Update Date | 12/17/2021 |
| Certification Date | 12/17/2021 |
| Medicare PECOS PAC ID | 0345664389 |
|---|---|
| Medicare Enrollment ID | O20200722003696 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1326662156 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | (* (Not Available)) | Primary |
| Provider Name | Coleen R Lynn |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1881016426 PECOS PAC ID: 6406115799 Enrollment ID: I20180112000129 |
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