| Creating Foundations, Llc | |
|
8218 Pence Rd Pleasant Valley MO 64068-9586 | |
| (816) 699-2526 | |
| Not Available |
| Full Name | Creating Foundations, Llc |
|---|---|
| Speciality | Counselor |
| Location | 8218 Pence Rd, Pleasant Valley, Missouri |
| Authorized Official Name and Position | Kristeen K Downs (OWNER) |
| Authorized Official Contact | 8166992526 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Creating Foundations, Llc 7341 Se Sycamore Dr Holt MO 64048-9386 Ph: (816) 699-2526 | Creating Foundations, Llc 8218 Pence Rd Pleasant Valley MO 64068-9586 Ph: (816) 699-2526 |
| NPI Number | 1871894964 |
|---|---|
| Provider Enumeration Date | 11/05/2010 |
| Last Update Date | 11/05/2010 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1871894964 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101Y00000X | Counselor | 2005038691 (Missouri) | Primary |
Triality, Inc. Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 6600 A Royal Street, Suite 105, Pleasant Valley, MO 64068 Phone: 816-781-0177 Fax: 816-781-0177 |