Provider Demographics
NPI:1477671600
Name:CREATIVE SOLUTIONS CHILD & FAMILY COUNSELING, LLC
Entity Type:Organization
Organization Name:CREATIVE SOLUTIONS CHILD & FAMILY COUNSELING, LLC
Other - Org Name:CREATIVE SOLUTIONS
Other - Org Type:Other Name
Authorized Official - Title/Position:PRACTITIONER
Authorized Official - Prefix:MRS
Authorized Official - First Name:TWYNA
Authorized Official - Middle Name:L
Authorized Official - Last Name:BELL
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:910-353-2853
Mailing Address - Street 1:200 VALENCIA DR
Mailing Address - Street 2:SUITE 160
Mailing Address - City:JACKSONVILLE
Mailing Address - State:NC
Mailing Address - Zip Code:28546-6311
Mailing Address - Country:US
Mailing Address - Phone:910-353-2853
Mailing Address - Fax:
Practice Address - Street 1:6213 OCEAN HWY E
Practice Address - Street 2:
Practice Address - City:WINNABOW
Practice Address - State:NC
Practice Address - Zip Code:28479-5836
Practice Address - Country:US
Practice Address - Phone:910-353-2853
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-03-26
Last Update Date:2017-02-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes252Y00000XAgenciesEarly Intervention Provider Agency
No101YM0800XBehavioral Health & Social Service ProvidersCounselorMental HealthGroup - Multi-Specialty
No251B00000XAgenciesCase Management
No251S00000XAgenciesCommunity/Behavioral Health