| Creating Connection, PLC | |
|
191 Kinney Rd Appomattox VA 24522-5594 | |
| (651) 468-4326 | |
| Not Available |
| Full Name | Creating Connection, PLC |
|---|---|
| Speciality | Counselor - Professional |
| Location | 191 Kinney Rd, Appomattox, Virginia |
| Authorized Official Name and Position | Jordan Lee Johnson (OWNER) |
| Authorized Official Contact | 6514684326 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Creating Connection, PLC 191 Kinney Rd Appomattox VA 24522-5594 Ph: (651) 468-4326 | Creating Connection, PLC 191 Kinney Rd Appomattox VA 24522-5594 Ph: (651) 468-4326 |
| NPI Number | 1881507002 |
|---|---|
| Provider Enumeration Date | 09/28/2026 |
| Last Update Date | 09/28/2026 |
| Certification Date | 09/28/2026 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1881507002 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YP2500X | Counselor - Professional | (NU) | Primary |
Oak Tree Wellness Center, LLC Mental Health Clinic Medicare: Medicare Enrolled Practice Location: 290 Court Street, Appomattox, VA 24522 Phone: 434-664-7706 Fax: 888-886-3760 |