| Creative Change Counseling | |
|
10504 Bruton Rd Dallas TX 75217-3105 | |
| (214) 772-0226 | |
| (972) 767-3471 |
| Full Name | Creative Change Counseling |
|---|---|
| Speciality | Clinic/center - Adolescent And Children Mental Health |
| Location | 10504 Bruton Rd, Dallas, Texas |
| Authorized Official Name and Position | Crystal Lopez (OWNER) |
| Authorized Official Contact | 2147720226 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Creative Change Counseling 10504 Bruton Rd Dallas TX 75217-3105 Ph: (214) 772-0226 | Creative Change Counseling 10504 Bruton Rd Dallas TX 75217-3105 Ph: (214) 772-0226 |
| NPI Number | 1023643947 |
|---|---|
| Provider Enumeration Date | 03/11/2020 |
| Last Update Date | 08/24/2023 |
| Certification Date | 08/24/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1023643947 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0855X | Clinic/center - Adolescent And Children Mental Health | (* (Not Available)) | Primary |
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