| Inspired Creative Solutions Therapy, Llc | |
|
9821 Goodman Rd Olive Branch MS 38654-1721 | |
| (901) 832-1507 | |
| Not Available |
| Full Name | Inspired Creative Solutions Therapy, Llc |
|---|---|
| Speciality | Counselor - Professional |
| Location | 9821 Goodman Rd, Olive Branch, Mississippi |
| Authorized Official Name and Position | Latrice Lanette Hamilton (LICENSED PROFESSIONAL COUNSLEOR) |
| Authorized Official Contact | 9018321507 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Inspired Creative Solutions Therapy, Llc 9821 Goodman Rd Olive Branch MS 38654-1721 Ph: (901) 832-1507 | Inspired Creative Solutions Therapy, Llc 9821 Goodman Rd Olive Branch MS 38654-1721 Ph: (901) 832-1507 |
| NPI Number | 1902336365 |
|---|---|
| Provider Enumeration Date | 06/18/2017 |
| Last Update Date | 08/06/2024 |
| Certification Date | 08/06/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1902336365 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YP2500X | Counselor - Professional | (* (Not Available)) | Primary |
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