| Creative Care Counseling, Llc | |
|
802 Custer Ave Ste B Norfolk NE 68701-0859 | |
| (402) 230-7576 | |
| Not Available |
| Full Name | Creative Care Counseling, Llc |
|---|---|
| Speciality | Counselor |
| Location | 802 Custer Ave Ste B, Norfolk, Nebraska |
| Authorized Official Name and Position | Mariah Hergott (PROVIDER) |
| Authorized Official Contact | 4022307576 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Creative Care Counseling, Llc 710 S. 13th St. Ste 900 Pmb 216 Norfolk NE 68701-5792 Ph: (402) 230-7576 | Creative Care Counseling, Llc 802 Custer Ave Ste B Norfolk NE 68701-0859 Ph: (402) 230-7576 |
| NPI Number | 1174384812 |
|---|---|
| Provider Enumeration Date | 01/19/2024 |
| Last Update Date | 02/21/2024 |
| Certification Date | 01/19/2024 |
| Medicare PECOS PAC ID | 1850734195 |
|---|---|
| Medicare Enrollment ID | O20240203000159 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1174384812 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YA0400X | Counselor - Addiction (substance Use Disorder) | (* (Not Available)) | Secondary |
| 101YM0800X | Counselor - Mental Health | (* (Not Available)) | Primary |
| Provider Name | Mariah Hergott |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1184072027 PECOS PAC ID: 2769825009 Enrollment ID: I20240203000198 |
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