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NPI Code Detail

MEDICARE: KREATIVE KARE ACADEMY

MEDICARE: KREATIVE KARE ACADEMY
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1101YM0800XMental Health Counselor

General Provider Information

NPI Number : 1104172402
Entity Type Code : Organization
Provider Name (Legal Business Name) : KREATIVE KARE ACADEMY
Provider Business Mailing Address
First Line : 5999 W 34TH ST STE 108
Second Line :
City : HOUSTON
State : TX
Zip : 77092-6434
Country : US
Telephone Number : 832-367-1241
Fax Number : 713-496-1235
Provider Business Practice Location Address
First Line : 5999 W 34TH ST STE 108
Second Line :
City : HOUSTON
State : TX
Zip : 77092-6434
Country : US
Telephone Number : 832-367-1241
Fax Number : 713-496-1235
Authorized Official
Title or Position : ADMINISTRATOR
Name : MS. JOY YVONNE SEEDANEE
Credential :
Telephone Number : 832-367-1241
Provider Enumeration Date : 07/24/2012
Last Update Date : 07/24/2012

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Directions to “KREATIVE KARE ACADEMY ” Practice Location

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