Provider Demographics
NPI:1710223292
Name:CREATIVE SOLUTIONS-COUNSELING 4 KIDS
Entity Type:Organization
Organization Name:CREATIVE SOLUTIONS-COUNSELING 4 KIDS
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:DEBRA
Authorized Official - Middle Name:L
Authorized Official - Last Name:FISHER
Authorized Official - Suffix:
Authorized Official - Credentials:LICSW
Authorized Official - Phone:218-969-4286
Mailing Address - Street 1:3920 13TH AVE E
Mailing Address - Street 2:SUITE 6
Mailing Address - City:HIBBING
Mailing Address - State:MN
Mailing Address - Zip Code:55746-3675
Mailing Address - Country:US
Mailing Address - Phone:218-263-7540
Mailing Address - Fax:
Practice Address - Street 1:3105 E BELTLINE
Practice Address - Street 2:SUITE 2
Practice Address - City:HIBBING
Practice Address - State:MN
Practice Address - Zip Code:55746-2353
Practice Address - Country:US
Practice Address - Phone:218-969-4286
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2013-01-02
Last Update Date:2013-01-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251S00000XAgenciesCommunity/Behavioral Health