| Creative Creative Center, Inc. | |
|
130 S Penn St Ste 201 Shippensburg PA 17257-1916 | |
| (717) 477-2556 | |
| (717) 496-0346 |
| Full Name | Creative Creative Center, Inc. |
|---|---|
| Speciality | Counselor - Professional |
| Location | 130 S Penn St Ste 201, Shippensburg, Pennsylvania |
| Authorized Official Name and Position | Amanda Mary Aliff (PRESIDENT) |
| Authorized Official Contact | 3017066889 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Creative Creative Center, Inc. 105 Milky Way Shippensburg PA 17257-8241 Ph: (717) 477-2556 | Creative Creative Center, Inc. 130 S Penn St Ste 201 Shippensburg PA 17257-1916 Ph: (717) 477-2556 |
| NPI Number | 1124615315 |
|---|---|
| Provider Enumeration Date | 12/22/2020 |
| Last Update Date | 12/22/2020 |
| Certification Date | 12/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1124615315 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | (* (Not Available)) | Secondary |
| 101YP2500X | Counselor - Professional | (* (Not Available)) | Primary |
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