| Creative Counseling Service, Llc | |
|
104 Investors Way Camden NC 27921-0000 | |
| (919) 802-3704 | |
| Not Available |
| Full Name | Creative Counseling Service, Llc |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 104 Investors Way, Camden, North Carolina |
| Authorized Official Name and Position | Shamekia Shaqawana Alvin (OWNER,CEO) |
| Authorized Official Contact | 9198023704 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Creative Counseling Service, Llc 104 Investors Way Camden NC 27921 Ph: (919) 802-3704 | Creative Counseling Service, Llc 104 Investors Way Camden NC 27921-0000 Ph: (919) 802-3704 |
| NPI Number | 1598151292 |
|---|---|
| Provider Enumeration Date | 04/09/2015 |
| Last Update Date | 04/09/2015 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1598151292 | NPI | - | NPPES |
| 1366845174 | Other | NC | INDIVIDUAL NPI |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
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