| Creative Journey, Llc | |
|
429 2nd St Sw Ste 205 Jamestown ND 58401 | |
| (701) 658-9032 | |
| Not Available |
| Full Name | Creative Journey, Llc |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 429 2nd St Sw Ste 205, Jamestown, North Dakota |
| Authorized Official Name and Position | Shaulee Ahlers Iverson (COO/ADMINISTRATOR) |
| Authorized Official Contact | 7016589032 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Creative Journey, Llc 419 5th St Ne # 14b Jamestown ND 58401-3318 Ph: (701) 658-9032 | Creative Journey, Llc 429 2nd St Sw Ste 205 Jamestown ND 58401 Ph: (701) 658-9032 |
| NPI Number | 1831607910 |
|---|---|
| Provider Enumeration Date | 01/11/2018 |
| Last Update Date | 01/28/2021 |
| Certification Date | 01/28/2021 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1831607910 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
| 261QM0855X | Clinic/center - Adolescent And Children Mental Health | (* (Not Available)) | Secondary |
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