Creative Counseling Group, Llc
Community/Behavioral Health Agency in Orlando, FL(View on Map)
Legal Business Name
Creative Counseling Group, Llc
NPI Number
1386178838
NPI Type
Organization
Enumeration Date
04/11/2017
Specialties
(Taxonomies)Licenses
State
Florida
License Number
IMH14125
Contact
Information
Purpose
Mailing
Location
Address
1928 PROCTOR AVE
1928 PROCTOR AVE
City
Orlando
Orlando
State
FL
FL
Postal Code
32817-4200
32817-4200
Country
US
US
Telephone Number
(407) 810-8319
(407) 810-8319
Authorized Official
Name
Mr. Tyler Conner
Title or Position
OWNER
Telephone Number
(407) 810-8319
Provider data last refreshed from NPPES NPI registry on 11/19/2024
Data last updated by provider on 04/11/2017
Provider Address
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