Creative Counseling Services, L.L.C. in Poplar Bluff - Clinical
Creative Counseling Services, L.L.C. - NPI 1881627156
Creative Counseling Services, L.L.C. is a Clinical in Poplar Bluff, Missouri. Creative Counseling Services, L.L.C. practices all healthcare services and medical treatments related to Clinical. The NPI Number for Creative Counseling Services, L.L.C. is 1881627156. The last update date is 2020-08-22.
Creative Counseling Services, L.L.C.'s current location address is 173 Lisa Ave, Poplar Bluff, Missouri. You can contact this provider via phone number 5737144076 and fax number 5737856813. The mailing address for Creative Counseling Services, L.L.C. is 173 Lisa Ave, Poplar Bluff, Missouri. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Creative Counseling Services, L.L.C. |
|---|---|
| Address | 173 Lisa Ave, Poplar Bluff, Missouri |
| Phone Number | 5737144076 |
| Fax Number | 5737856813 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | LICENSED C |
|---|---|
| Authorized Official Name | Pennington Paul Timothy |
| Credentials | LCSW |
| Telephone Number | 5737144076 |
NPI Number Detail
| NPI Number | 1881627156 |
|---|---|
| Provider Enumeration Date | 2006-07-09 |
| Last Updated Date | 2020-08-22 |
Provider Mailing Address Detail
| Address | 173 Lisa Ave |
|---|---|
| City | Poplar Bluff |
| State | Missouri (MO) |
| Post Code | 639019093 |
| Phone Number | 5737144076 |
| Fax Number | 5737856813 |
Provider's Primary Taxonomy Detail
| Speciality | Clinical |
|---|---|
| Taxonomy | 1041C0700X |
| Licence No | 2004024505 |
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Definition: A social worker who holds a master's or doctoral degree in social work from an accredited school of social work in addition to at least two years of post-master's supervised experience in a clinical setting. The social worker must be licensed, certif |
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What is the Creative Counseling Services, L.L.C.'s 1881627156?
The Creative Counseling Services, L.L.C.'s NPI (National Provider Identifier) Number is 1881627156. This unique 10-digit identification number is assigned to health care providers by the Centers for Medicare & Medicaid Services (CMS).
Could you share the physical location details of Creative Counseling Services, L.L.C.?
The Creative Counseling Services, L.L.C. is situated at 173 Lisa Ave, in the city of Poplar Bluff, state of MO, with the zip code 639019093.
What is Creative Counseling Services, L.L.C.'s specialized area of practice, and what is the corresponding taxonomy classification code for this field?
The Creative Counseling Services, L.L.C.'s specialized field of practice is Clinical, and the corresponding taxonomy code that categorizes this area of specialization is 1041C0700X.
On what date was the 1881627156 assigned to Creative Counseling Services, L.L.C.?
The Creative Counseling Services, L.L.C. was issued its 1881627156 on 2006-07-09, which is the date when this unique identifier was assigned to the organization by the Centers for Medicare & Medicaid Services.
As of what date were the details pertaining to Creative Counseling Services, L.L.C. last refreshed?
The information related to the Creative Counseling Services, L.L.C., including its address, specialty, and other relevant details, was last updated on 2020-08-22.