| Creating Change, LLC | |
|
181 Howard Blvd Ste J Mount Arlington NJ 07856-2314 | |
| (862) 803-9262 | |
| Not Available |
| Full Name | Creating Change, LLC |
|---|---|
| Speciality | Social Worker - Clinical |
| Location | 181 Howard Blvd Ste J, Mount Arlington, New Jersey |
| Authorized Official Name and Position | Gloria M Correa (CEO) |
| Authorized Official Contact | 8628039262 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Creating Change, LLC 24 Maple Ln Mount Arlington NJ 07856-1388 Ph: (973) 703-4642 | Creating Change, LLC 181 Howard Blvd Ste J Mount Arlington NJ 07856-2314 Ph: (862) 803-9262 |
| NPI Number | 1588179725 |
|---|---|
| Provider Enumeration Date | 12/11/2017 |
| Last Update Date | 08/13/2024 |
| Certification Date | 08/13/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1588179725 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | 44SC055649300 (New Jersey) | Primary |
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