| Center For Creative Change, Inc. | |
|
100 Northland St Fishers IN 46038-1147 | |
| (317) 845-5133 | |
| (317) 845-5133 |
| Full Name | Center For Creative Change, Inc. |
|---|---|
| Speciality | Social Worker - Clinical |
| Location | 100 Northland St, Fishers, Indiana |
| Authorized Official Name and Position | Kay Mattingly Langlois (PRESIDENT) |
| Authorized Official Contact | 3178455133 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Center For Creative Change, Inc. 100 Northland St Fishers IN 46038-1147 Ph: (317) 845-5133 | Center For Creative Change, Inc. 100 Northland St Fishers IN 46038-1147 Ph: (317) 845-5133 |
| NPI Number | 1437209681 |
|---|---|
| Provider Enumeration Date | 01/11/2007 |
| Last Update Date | 02/16/2021 |
| Certification Date | 02/16/2021 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1437209681 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | 34002187 (Indiana) | Primary |
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