| NPI | 1972236917 |
|---|---|
| Doing Business As | CREATIVE COUNSELING, CONSULTING AND BEHAVIORAL HEALTH SERVICES |
| Entity Type | Organization |
| Authorized Contact | ROBIN CLARK CEO/Owner 601-383-2784 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical |
| Additional Taxonomies | 251S00000X |
| 261Q00000X Clinic/Center | |
| 261QD1600X Clinic/Center, Developmental Disabilities | |
| 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) | |
| 261QM0850X Clinic/Center, Adult Mental Health | |
| 261QM0855X Clinic/Center, Adolescent and Children Mental Health | |
| 320800000X Community Based Residential Treatment Facility, Mental Illness | |
| Enumeration Date | 2022-07-07 |
| Last Update Date | 2022-07-07 |