| Tinker Creek Creative Counseling, Llc | |
|
8245 Williamson Rd Roanoke VA 24019-6951 | |
| (540) 293-7601 | |
| Not Available |
| Full Name | Tinker Creek Creative Counseling, Llc |
|---|---|
| Speciality | Clinic/Center |
| Location | 8245 Williamson Rd, Roanoke, Virginia |
| Authorized Official Name and Position | Christin Vaughn (OWNER/LPC) |
| Authorized Official Contact | 5402937601 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Tinker Creek Creative Counseling, Llc 4754 Meadow Crossing Ln Ne Roanoke VA 24019-5874 Ph: (540) 293-7601 | Tinker Creek Creative Counseling, Llc 8245 Williamson Rd Roanoke VA 24019-6951 Ph: (540) 293-7601 |
| NPI Number | 1710498209 |
|---|---|
| Provider Enumeration Date | 10/24/2017 |
| Last Update Date | 07/15/2022 |
| Certification Date | 07/15/2022 |
| Medicare PECOS PAC ID | 0547792319 |
|---|---|
| Medicare Enrollment ID | O20241017002538 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1710498209 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0801X | Clinic/center - Mental Health (including Community Mental Health Center) | (Virginia) | Primary |
| Provider Name | Christina B Vaughn |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1336503804 PECOS PAC ID: 2365974136 Enrollment ID: I20241017002874 |
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