| Creative Community Counseling, Inc. | |
|
202 Lake Miriam Dr W6 Lakeland FL 33813-2180 | |
| (863) 226-5081 | |
| Not Available |
| Full Name | Creative Community Counseling, Inc. |
|---|---|
| Speciality | Community/Behavioral Health |
| Location | 202 Lake Miriam Dr, Lakeland, Florida |
| Authorized Official Name and Position | Cathy Ghent (CLINICAL DIRECTOR) |
| Authorized Official Contact | 8632265081 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Creative Community Counseling, Inc. 202 Lake Miriam Dr Lakeland FL 33813-2180 Ph: (863) 226-5081 | Creative Community Counseling, Inc. 202 Lake Miriam Dr W6 Lakeland FL 33813-2180 Ph: (863) 226-5081 |
| NPI Number | 1043694219 |
|---|---|
| Provider Enumeration Date | 07/16/2015 |
| Last Update Date | 02/10/2023 |
| Certification Date | 02/10/2023 |
| Medicare PECOS PAC ID | 2961735766 |
|---|---|
| Medicare Enrollment ID | O20240111000660 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1043694219 | NPI | - | NPPES |
| Provider Name | Cathy Ghent |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1265835201 PECOS PAC ID: 2062753627 Enrollment ID: I20240111001201 |
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