Healthcare Provider Details

I. General information

NPI: 1881180214
Provider Name (Legal Business Name): CREATIVITY IN COUNSELING, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/09/2018
Last Update Date: 07/09/2018
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

25 S EWING ST STE 507
HELENA MT
59601-5732
US

IV. Provider business mailing address

25 S EWING ST STE 507
HELENA MT
59601-5732
US

V. Phone/Fax

Practice location:
  • Phone: 406-459-0756
  • Fax:
Mailing address:
  • Phone: 406-459-0756
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code101YA0400X
TaxonomyAddiction (Substance Use Disorder) Counselor
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code106H00000X
TaxonomyMarriage & Family Therapist
License Number
License Number State

VIII. Authorized Official

Name: RICK CREEK
Title or Position: OWNER
Credential:
Phone: 406-431-6585