| Creative Directions Counseling & Consulting, Llc | |
|
3057 Hill Ave Grand Junction CO 81504-2607 | |
| (970) 208-2682 | |
| Not Available |
| Full Name | Creative Directions Counseling & Consulting, Llc |
|---|---|
| Speciality | Counselor |
| Location | 3057 Hill Ave, Grand Junction, Colorado |
| Authorized Official Name and Position | Kyra Logsdon (OWNER) |
| Authorized Official Contact | 9702082682 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Creative Directions Counseling & Consulting, Llc Po Box 40305 Grand Junction CO 81504-0305 Ph: (970) 208-2682 | Creative Directions Counseling & Consulting, Llc 3057 Hill Ave Grand Junction CO 81504-2607 Ph: (970) 208-2682 |
| NPI Number | 1316573991 |
|---|---|
| Provider Enumeration Date | 03/16/2020 |
| Last Update Date | 06/22/2020 |
| Certification Date | 06/22/2020 |
| Medicare PECOS PAC ID | 0749700219 |
|---|---|
| Medicare Enrollment ID | O20250227001434 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1316573991 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | (* (Not Available)) | Secondary |
| 101YM0800X | Counselor - Mental Health | (* (Not Available)) | Primary |
| Provider Name | Kyra M Logsdon |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1588037774 PECOS PAC ID: 1658891122 Enrollment ID: I20250227001610 |
| Provider Name | Stacey Francine Lyons |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1881145480 PECOS PAC ID: 1951821446 Enrollment ID: I20250227001859 |
| Provider Name | Shellen H Pinnt |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1497318059 PECOS PAC ID: 8628598117 Enrollment ID: I20250227002092 |
| Provider Name | Melinda Leeann Baker |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1265074348 PECOS PAC ID: 5294255618 Enrollment ID: I20250227003755 |
| Provider Name | Connie Robbins-brady |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1497486658 PECOS PAC ID: 5294256517 Enrollment ID: I20250303003262 |
| Provider Name | Katherine Hollis Brennan |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1720732977 PECOS PAC ID: 2466973409 Enrollment ID: I20250306003648 |
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