Provider Demographics
NPI:1164936779
Name:CREATIVE COUNSELING
Entity Type:Organization
Organization Name:CREATIVE COUNSELING
Other - Org Name:CREATIVE COUNSELING
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MS
Authorized Official - First Name:KIMBERLY
Authorized Official - Middle Name:
Authorized Official - Last Name:BENCHSKY
Authorized Official - Suffix:
Authorized Official - Credentials:LMHC
Authorized Official - Phone:401-680-0211
Mailing Address - Street 1:2220 PLAINFIELD PIKE STE 5W
Mailing Address - Street 2:
Mailing Address - City:CRANSTON
Mailing Address - State:RI
Mailing Address - Zip Code:02921-2001
Mailing Address - Country:US
Mailing Address - Phone:401-680-0211
Mailing Address - Fax:401-942-2416
Practice Address - Street 1:2220 PLAINFIELD PIKE STE 5W
Practice Address - Street 2:
Practice Address - City:CRANSTON
Practice Address - State:RI
Practice Address - Zip Code:02921-2001
Practice Address - Country:US
Practice Address - Phone:401-680-0211
Practice Address - Fax:401-942-2416
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2017-11-20
Last Update Date:2017-11-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
RIMHC00624101Y00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101Y00000XBehavioral Health & Social Service ProvidersCounselorGroup - Single Specialty