Healthcare Provider Details

I. General information

NPI: 1295629533
Provider Name (Legal Business Name): COUNSELING, CREATIVITY, AND COMPASSIONATE CARE
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/03/2025
Last Update Date: 06/03/2025
Certification Date: 06/03/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

205 ROSEWOOD DR
LIMA OH
45805-2530
US

IV. Provider business mailing address

205 ROSEWOOD DR
LIMA OH
45805-2530
US

V. Phone/Fax

Practice location:
  • Phone: 419-649-7475
  • Fax:
Mailing address:
  • Phone: 419-649-7475
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code261QM1300X
TaxonomyMulti-Specialty Clinic/Center
License Number
License Number State

VIII. Authorized Official

Name: MEGAN BOWSHER
Title or Position: OWNER
Credential: MSW, LISW
Phone: 513-649-5116