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NPI Code Detail

MEDICARE: CREATIVE SOLUTIONS CHILD & FAMILY COUNSELING, LLC

MEDICARE: CREATIVE SOLUTIONS CHILD & FAMILY COUNSELING, LLC
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
2251B00000XCase Management Agency
3251S00000XCommunity/Behavioral Health Agency
4252Y00000XEarly Intervention Provider Agency

General Provider Information

NPI Number : 1477671600
Entity Type Code : Organization
Provider Name (Legal Business Name) : CREATIVE SOLUTIONS CHILD & FAMILY COUNSELING, LLC
Provider Business Mailing Address
First Line : 200 VALENCIA DR
Second Line : SUITE 160
City : JACKSONVILLE
State : NC
Zip : 28546-6311
Country : US
Telephone Number : 910-353-2853
Fax Number :
Provider Business Practice Location Address
First Line : 6213 OCEAN HWY E
Second Line :
City : WINNABOW
State : NC
Zip : 28479-5836
Country : US
Telephone Number : 910-353-2853
Fax Number :
Authorized Official
Title or Position : PRACTITIONER
Name : MRS. TWYNA L BELL
Credential :
Telephone Number : 910-353-2853
Provider Enumeration Date : 03/26/2007
Last Update Date : 02/10/2017

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Directions to “CREATIVE SOLUTIONS CHILD & FAMILY COUNSELING, LLC ” Practice Location

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