Creative Change Counseling

LBN: Creative Change Counseling
Creative Change Counseling is an health care organization with primary practice located at 423 7Th Ave Sw , Hickory NC 28602-3237. The organization recently has 3 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Counseling, Agencies / Community/Behavioral Health, Ambulatory Health Care Facilities / Mental Health (Including Community Mental Health Center). Ambulatory Health Care Facilities / Mental Health (Including Community Mental Health Center) is the primary health care specialty. Creative Change Counseling can be contacted via phone (609) 668-4719, or through Thomas, Bertee via phone (609) 668-4719.

Contact Information

Primary practice address
423 7Th Ave Sw Hickory NC 28602-3237
Phone: (609) 668-4719
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Thomas, Bertee
Phone: (609) 668-4719

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Counseling 103TC1900X New Jersey
Agencies / Community/Behavioral Health 251S00000X
Ambulatory Health Care Facilities / Mental Health (Including Community Mental Health Center) 261QM0801X New Jersey

Profile Details

NPI number 1053794065
LBN Legal business name Creative Change Counseling
DBA Doing business as
Authorized official Thomas, Bertee
Entity Organization
Organization subpart 1 No
Enumeration date Jul 8th, 2015
Last updated May 15th, 2022 - about 2 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1053794065 NPPES
New Jersey MEDICAID 0506460
New Jersey MEDICAID 1053794065

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