| Creative Life Strategies, Llc | |
|
625 Route 9 Beachwood NJ 08722-4007 | |
| (732) 580-6619 | |
| (732) 228-7335 |
| Full Name | Creative Life Strategies, Llc |
|---|---|
| Speciality | Counselor |
| Location | 625 Route 9, Beachwood, New Jersey |
| Authorized Official Name and Position | Christine Leotta-selby (LICENSED PROFESSIONAL COUNSELOR) |
| Authorized Official Contact | 7325806619 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Creative Life Strategies, Llc Po Box 110 Bayville NJ 08721-0110 Ph: (732) 580-6619 | Creative Life Strategies, Llc 625 Route 9 Beachwood NJ 08722-4007 Ph: (732) 580-6619 |
| NPI Number | 1205475878 |
|---|---|
| Provider Enumeration Date | 12/31/2019 |
| Last Update Date | 12/31/2019 |
| Certification Date | 12/31/2019 |
| Medicare PECOS PAC ID | 4385168608 |
|---|---|
| Medicare Enrollment ID | O20250408003141 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1205475878 | NPI | - | NPPES |
| Provider Name | Christine Leotta- Selby |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1265660955 PECOS PAC ID: 8022532035 Enrollment ID: I20250411002129 |
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