| Creative Concepts Mental Health Counseling, Pc | |
|
136 La Bonne Vie Dr W Apt B East Patchogue NY 11772-4564 | |
| (631) 921-8572 | |
| (208) 668-8975 |
| Full Name | Creative Concepts Mental Health Counseling, Pc |
|---|---|
| Speciality | Counselor - Mental Health |
| Location | 136 La Bonne Vie Dr W Apt B, East Patchogue, New York |
| Authorized Official Name and Position | Nicole Schulz (OWNER/PSYCHOTHERAPIST) |
| Authorized Official Contact | 6319218572 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Creative Concepts Mental Health Counseling, Pc 865 Old Country Rd # 148 Riverhead NY 11901-2106 Ph: (631) 921-8572 | Creative Concepts Mental Health Counseling, Pc 136 La Bonne Vie Dr W Apt B East Patchogue NY 11772-4564 Ph: (631) 921-8572 |
| NPI Number | 1457906935 |
|---|---|
| Provider Enumeration Date | 08/02/2019 |
| Last Update Date | 04/19/2023 |
| Certification Date | 04/19/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1457906935 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | (* (Not Available)) | Primary |
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