| Creekside Counseling Center, Llc | |
| 
					132 S. Broad St. #101 Canfield OH 44406  | |
| (330) 533-5450 | |
| (330) 533-4292 | 
| Full Name | Creekside Counseling Center, Llc | 
|---|---|
| Speciality | Counselor | 
| Location | 132 S. Broad St. #101, Canfield, Ohio | 
| Authorized Official Name and Position | Thomas Richard Kupec (DIRECTOR/OWNER) | 
| Authorized Official Contact | 3305335450 | 
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. | 
| Mailing Address | Practice Location Address | 
|---|---|
| Creekside Counseling Center, Llc 132 S. Broad St. #101 Canfield OH 44406 Ph: (330) 533-5450  | Creekside Counseling Center, Llc 132 S. Broad St. #101 Canfield OH 44406 Ph: (330) 533-5450  | 
| NPI Number | 1518192608 | 
|---|---|
| Provider Enumeration Date | 05/19/2009 | 
| Last Update Date | 02/13/2023 | 
| Certification Date | 02/13/2023 | 
| Medicare PECOS PAC ID | 7113364597 | 
|---|---|
| Medicare Enrollment ID | O20240320003889 | 
| Identifier | Type | State | Issuer | 
|---|---|---|---|
| 1518192608 | NPI | - | NPPES | 
| Taxonomy | Type | License (State) | Status | 
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | E-0003444-SUPV (Ohio) | Secondary | 
| 101YM0800X | Counselor - Mental Health | (* (Not Available)) | Primary | 
| Provider Name | Thomas R Kupec | 
|---|---|
| Provider Type | Practitioner - Mental Health Counselor | 
| Provider Identifiers | NPI Number: 1457320889 PECOS PAC ID: 8527069418 Enrollment ID: I20240320003957  | 
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