MEDICARE: COUNSELING CREATIVELY, PLLC

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
1	261QM0801X	Mental Health Clinic/Center (Including Community Mental Health Center)	71953	TX

General Provider Information

NPI Number	:	1518497809
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	COUNSELING CREATIVELY, PLLC

Provider Business Mailing Address
First Line	:	8751 COLLIN MCKINNEY PKWY STE 1202
Second Line	:
City	:	MCKINNEY
State	:	TX
Zip	:	75070-1872
Country	:	US
Telephone Number	:	469-294-2600
Fax Number	:

Provider Business Practice Location Address
First Line	:	8751 COLLIN MCKINNEY PKWY STE 1202
Second Line	:
City	:	MCKINNEY
State	:	TX
Zip	:	75070-1872
Country	:	US
Telephone Number	:	469-294-2600
Fax Number	:

Authorized Official
Title or Position	:	OWNER
Name	:	JANETTE DELGADO MACIAS
Credential	:	MA, LPC
Telephone Number	:	469-294-2600

Provider Enumeration Date	:	06/19/2017
Last Update Date	:	12/22/2020

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