| Creative Counseling Services, L.l.c. | |
|
173 Lisa Ave Poplar Bluff MO 63901-9093 | |
| (573) 714-4076 | |
| (573) 785-6813 |
| Full Name | Creative Counseling Services, L.l.c. |
|---|---|
| Speciality | Social Worker - Clinical |
| Location | 173 Lisa Ave, Poplar Bluff, Missouri |
| Authorized Official Name and Position | Timothy Paul Pennington (LICENSED CLINICAL SOCIAL WORKER) |
| Authorized Official Contact | 5737144076 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Creative Counseling Services, L.l.c. 173 Lisa Ave Poplar Bluff MO 63901-9093 Ph: (573) 714-4076 | Creative Counseling Services, L.l.c. 173 Lisa Ave Poplar Bluff MO 63901-9093 Ph: (573) 714-4076 |
| NPI Number | 1881627156 |
|---|---|
| Provider Enumeration Date | 07/09/2006 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1881627156 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | 2004024505 (Missouri) | Primary |
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