| Creative Healing Mental Health Center Llc | |
|
1791 County Highway Oo Chippewa Falls WI 54729-5347 | |
| (715) 829-0602 | |
| Not Available |
| Full Name | Creative Healing Mental Health Center Llc |
|---|---|
| Speciality | Clinic/Center |
| Location | 1791 County Highway Oo, Chippewa Falls, Wisconsin |
| Authorized Official Name and Position | Jenifer Olson (OWNER) |
| Authorized Official Contact | 7158290602 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Creative Healing Mental Health Center Llc 1791 County Highway Oo Chippewa Falls WI 54729-5347 Ph: (715) 797-2770 | Creative Healing Mental Health Center Llc 1791 County Highway Oo Chippewa Falls WI 54729-5347 Ph: (715) 829-0602 |
| NPI Number | 1346960366 |
|---|---|
| Provider Enumeration Date | 08/30/2022 |
| Last Update Date | 01/09/2024 |
| Certification Date | 01/09/2024 |
| Medicare PECOS PAC ID | 4688043748 |
|---|---|
| Medicare Enrollment ID | O20221212001959 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1346960366 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0801X | Clinic/center - Mental Health (including Community Mental Health Center) | (* (Not Available)) | Primary |
| Provider Name | Jenifer Catherine Olson |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1386287522 PECOS PAC ID: 7517376858 Enrollment ID: I20210517002249 |
| Provider Name | Emily L. Beer |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1518374313 PECOS PAC ID: 4385096106 Enrollment ID: I20240117003264 |
| Provider Name | Emily Cranston |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1114494762 PECOS PAC ID: 6305298944 Enrollment ID: I20240118003153 |
| Provider Name | Amanda Jean Putnam |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1528359080 PECOS PAC ID: 7214389691 Enrollment ID: I20240122002333 |
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