Creative Therapy Addiction Program

LBN: Creative Therapy Pllc
Creative Therapy Addiction Program is an health care organization with primary practice located at 150 2Nd St Sw #1, Valley City ND 58072-3302. The organization recently has only one registered license in Agencies / Community/Behavioral Health, which is considered as the primary health care specialty. Creative Therapy Pllc can be contacted via phone (701) 490-3281, or through Eberle, Jennifer L via phone (701) 490-3281.

Contact Information

Primary practice address
150 2Nd St Sw #1 Valley City ND 58072-3302
Phone: (701) 490-3281
Fax: (701) 490-3283
Website:
Map and Directions
Authorized official contact:
Name: Eberle, Jennifer L Licensed Professional Counselor (LPC)
Phone: (701) 490-3281

Health care specialties

SpecialtyCodeLicense #State
Agencies / Community/Behavioral Health 251S00000X North Dakota

Profile Details

NPI number 1508234295
LBN Legal business name Creative Therapy Pllc
DBA Doing business as Creative Therapy Addiction Program
Authorized official Eberle, Jennifer L Licensed Professional Counselor (LPC)
Entity Organization
Organization subpart 1 No
Enumeration date Sep 11th, 2015
Last updated Sep 11th, 2015 - about 10 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 1508234295 NPPES
North Dakota MEDICAID 56667

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