| Creative Pathways Llc | |
|
639 Eastern Blvd Suite F Clarksville IN 47129-2460 | |
| (502) 552-3107 | |
| Not Available |
| Full Name | Creative Pathways Llc |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 639 Eastern Blvd, Clarksville, Indiana |
| Authorized Official Name and Position | Jennifer E Fisher (OWNER) |
| Authorized Official Contact | 5025523107 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Creative Pathways Llc 608 Hopkins Ln Jeffersonville IN 47130-5034 Ph: (502) 552-3107 | Creative Pathways Llc 639 Eastern Blvd Suite F Clarksville IN 47129-2460 Ph: (502) 552-3107 |
| NPI Number | 1205077294 |
|---|---|
| Provider Enumeration Date | 03/20/2009 |
| Last Update Date | 03/20/2009 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1205077294 | NPI | - | NPPES |
| 1639175771 | Other | IN | INDIVIDUAL NPI (TYPE I) |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | 34003596A (Indiana) | Primary |
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