CREATIVE GROWTH THERAPY NPI 1477138253

NPI Information

NPI: 1477138253
Provider Name: CREATIVE GROWTH THERAPY
Classification: Counselor - 101YP2500X
Entity Type: Organization

Specialization: Professional

Address:
3584 W OUTER DR
DETROIT, MI
ZIP 48221
Phone: (248) 396-4602
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CREATIVE GROWTH THERAPY is a professional counselor in Detroit, MI. CREATIVE GROWTH THERAPY NPI is 1477138253. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

3584 W OUTER DR
DETROIT, MI
ZIP 48221-662
Phone: (248) 396-4602

The provider's authorized official is Jenna I Debryn .
The authorized official title is Owner and has the following contact phone number (504) 407-1713.

The enumeration date for this NPI number is 3/13/2021 and was last updated on 9/17/2021.

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	Primary
1	221700000X	Art Therapist		No
2	101Y00000X	Counselor		No
3	101YP2500X	Counselor	Professional	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: 11/14/2023

NPI Synchronization or Removal

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