| NPI | 1568116002 | 
|---|---|
| Doing Business As | CREATIVE COUNSELING & CONSULTATION | 
| Entity Type | Organization | 
| Authorized Contact | CHRISTOPHER LONGORIA Co Owner 270-872-3540  | 
| Organization Subpart ? | No | 
| Primary Taxonomy | 261QM1300X Clinic/Center, Multi-Specialty | 
| Additional Taxonomies | 101YM0800X Counselor, Mental Health | 
| Enumeration Date | 2022-02-03 | 
| Last Update Date | 2023-11-17 |