| Creative Counseling Services | |
|
1956 Ohio Ave Connersville IN 47331-2858 | |
| (765) 827-5610 | |
| (765) 825-9440 |
| Full Name | Creative Counseling Services |
|---|---|
| Speciality | Social Worker - Clinical |
| Location | 1956 Ohio Ave, Connersville, Indiana |
| Authorized Official Name and Position | Debra K. Shain (CLINICAL SOCIAL WORKER) |
| Authorized Official Contact | 7658275610 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Creative Counseling Services 1956 Ohio Ave Connersville IN 47331-2858 Ph: (765) 827-5610 | Creative Counseling Services 1956 Ohio Ave Connersville IN 47331-2858 Ph: (765) 827-5610 |
| NPI Number | 1154488773 |
|---|---|
| Provider Enumeration Date | 01/02/2007 |
| Last Update Date | 06/20/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1154488773 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | 34004224A (Indiana) | Primary |
Creative Life Concepts Llc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 418 Ridge Rd, Connersville, IN 47331 Phone: 765-309-5510 |