| Creative Counseling Solutions | |
|
661 State Route 23 Wayne NJ 07470-6814 | |
| (862) 881-2988 | |
| Not Available |
| Full Name | Creative Counseling Solutions |
|---|---|
| Speciality | Community/Behavioral Health |
| Location | 661 State Route 23, Wayne, New Jersey |
| Authorized Official Name and Position | Theresa Mcdougal Murray (PRESIDENT) |
| Authorized Official Contact | 8628812988 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Creative Counseling Solutions 478 Passaic Ave West Caldwell NJ 07006-7447 Ph: (862) 881-2988 | Creative Counseling Solutions 661 State Route 23 Wayne NJ 07470-6814 Ph: (862) 881-2988 |
| NPI Number | 1013612548 |
|---|---|
| Provider Enumeration Date | 04/03/2023 |
| Last Update Date | 04/22/2023 |
| Certification Date | 04/21/2023 |
| Medicare PECOS PAC ID | 7416312913 |
|---|---|
| Medicare Enrollment ID | O20230506000001 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1013612548 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
| Provider Name | Theresa M Murray |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1366767360 PECOS PAC ID: 2163734724 Enrollment ID: I20150710000160 |
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