| Center For Creative Life Solutions, Llc | |
|
109 Rhode Island Rd Ste 4b Lakeville MA 02347-1370 | |
| (508) 203-6908 | |
| (508) 796-1468 |
| Full Name | Center For Creative Life Solutions, Llc |
|---|---|
| Speciality | Counselor |
| Location | 109 Rhode Island Rd Ste 4b, Lakeville, Massachusetts |
| Authorized Official Name and Position | Jennifer Lee Laurenza (OWNER) |
| Authorized Official Contact | 5087899168 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Center For Creative Life Solutions, Llc 109 Rhode Island Rd Ste 4b Lakeville MA 02347-1370 Ph: (508) 203-6908 | Center For Creative Life Solutions, Llc 109 Rhode Island Rd Ste 4b Lakeville MA 02347-1370 Ph: (508) 203-6908 |
| NPI Number | 1629584321 |
|---|---|
| Provider Enumeration Date | 12/18/2017 |
| Last Update Date | 09/22/2023 |
| Certification Date | 09/22/2023 |
| Medicare PECOS PAC ID | 6709313604 |
|---|---|
| Medicare Enrollment ID | O20241217000249 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1629584321 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | (* (Not Available)) | Primary |
| Provider Name | Robert G Oconnor |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1942348701 PECOS PAC ID: 7810922218 Enrollment ID: I20051005000211 |
| Provider Name | Alyssa S Monahan |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1316566870 PECOS PAC ID: 8921443797 Enrollment ID: I20240302000261 |
| Provider Name | Jennifer Lee Laurenza |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1578682498 PECOS PAC ID: 7517494412 Enrollment ID: I20241217000375 |
| Provider Name | Sarah Cotter Yukna |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1528672896 PECOS PAC ID: 7315474210 Enrollment ID: I20250121000424 |
| Provider Name | Lisa Ann Ferreira |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1356502462 PECOS PAC ID: 7416487624 Enrollment ID: I20250203003161 |
| Provider Name | Christa Jean Cavanaugh |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1124791934 PECOS PAC ID: 2466972880 Enrollment ID: I20250227003307 |
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