| Creative Therapies, Pllc | |
|
6103 Kayton St Raleigh NC 27616-4329 | |
| (919) 880-4078 | |
| Not Available |
| Full Name | Creative Therapies, Pllc |
|---|---|
| Speciality | Counselor - Mental Health |
| Location | 6103 Kayton St, Raleigh, North Carolina |
| Authorized Official Name and Position | Casey Baine (CLINICAL DIRECTOR AND THERAPIST) |
| Authorized Official Contact | 9198804078 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Creative Therapies, Pllc 6103 Kayton St Raleigh NC 27616-4329 Ph: (919) 880-4078 | Creative Therapies, Pllc 6103 Kayton St Raleigh NC 27616-4329 Ph: (919) 880-4078 |
| NPI Number | 1699310433 |
|---|---|
| Provider Enumeration Date | 11/15/2019 |
| Last Update Date | 01/28/2021 |
| Certification Date | 01/28/2021 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1699310433 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YA0400X | Counselor - Addiction (substance Use Disorder) | (* (Not Available)) | Secondary |
| 101YM0800X | Counselor - Mental Health | (* (Not Available)) | Primary |
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