| Creative Connections Counseling Llc | |
|
11990 Portland Ave Burnsville MN 55337-1516 | |
| (651) 300-9654 | |
| Not Available |
| Full Name | Creative Connections Counseling Llc |
|---|---|
| Speciality | Counselor |
| Location | 11990 Portland Ave, Burnsville, Minnesota |
| Authorized Official Name and Position | Breanna Reed (OWNER) |
| Authorized Official Contact | 6513009654 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Creative Connections Counseling Llc 11990 Portland Ave Burnsville MN 55337-1516 Ph: (651) 300-9654 | Creative Connections Counseling Llc 11990 Portland Ave Burnsville MN 55337-1516 Ph: (651) 300-9654 |
| NPI Number | 1982313029 |
|---|---|
| Provider Enumeration Date | 11/17/2022 |
| Last Update Date | 11/17/2022 |
| Certification Date | 11/17/2022 |
| Medicare PECOS PAC ID | 1456892314 |
|---|---|
| Medicare Enrollment ID | O20240918003232 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1982313029 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101Y00000X | Counselor | (* (Not Available)) | Primary |
| Provider Name | Breanna Reed |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1659016541 PECOS PAC ID: 8729527833 Enrollment ID: I20240903001403 |
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