CREATIVE CHANGE COUNSELING INC. NPI 1407432321

NPI Information

NPI: 1407432321
Provider Name: CREATIVE CHANGE COUNSELING, INC.
Classification: Clinic/Center - 261QR0405X
Entity Type: Organization

Specialization: Rehabilitation, Substance Use Disorder

Address:
322 E 5TH ST
LAKEWOOD, NJ
ZIP 08701
Phone: (609) 668-4719
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CREATIVE CHANGE COUNSELING, INC. is a rehabilitation and substance use disorder clinic center in Lakewood, NJ. CREATIVE CHANGE COUNSELING, INC. NPI is 1407432321. The provider is registered as an organization entity type.

The provider's business location address is:

322 E 5TH ST
LAKEWOOD, NJ
ZIP 08701-415
Phone: (609) 668-4719
Fax: (609) 667-7944

The provider's authorized official is Bertee Thomas .
The authorized official title is Ceo and has the following contact phone number (609) 668-4719.

The enumeration date for this NPI number is 3/22/2021 and was last updated on 3/22/2021.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	261QR0405X	Clinic/Center	Rehabilitation, Substance Use Disorder			Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

NPI Synchronization or Removal

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