| Creative Therapeutic Connections Llc | |
|
3309 Dixie Hwy Erlanger KY 41018-4047 | |
| (859) 609-3893 | |
| Not Available |
| Full Name | Creative Therapeutic Connections Llc |
|---|---|
| Speciality | Counselor - Professional |
| Location | 3309 Dixie Hwy, Erlanger, Kentucky |
| Authorized Official Name and Position | Miranda Bergman (CEO) |
| Authorized Official Contact | 8596093893 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Creative Therapeutic Connections Llc 3149 Meadoway Ct Independence KY 41051-6717 Ph: (859) 609-3893 | Creative Therapeutic Connections Llc 3309 Dixie Hwy Erlanger KY 41018-4047 Ph: (859) 609-3893 |
| NPI Number | 1083093298 |
|---|---|
| Provider Enumeration Date | 05/20/2015 |
| Last Update Date | 05/20/2015 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1083093298 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YP2500X | Counselor - Professional | LPCPCC00216421 (Kentucky) | Primary |
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