Provider Demographics
NPI:1790372043
Name:TRY CREATIVE COUNSELING SOLUTION
Entity Type:Organization
Organization Name:TRY CREATIVE COUNSELING SOLUTION
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:COUNSELOR
Authorized Official - Prefix:MS
Authorized Official - First Name:HEATHER
Authorized Official - Middle Name:JEANINE
Authorized Official - Last Name:VAN MILL
Authorized Official - Suffix:
Authorized Official - Credentials:LICSW
Authorized Official - Phone:360-970-9878
Mailing Address - Street 1:2038 CENTERWOOD DR SE
Mailing Address - Street 2:
Mailing Address - City:OLYMPIA
Mailing Address - State:WA
Mailing Address - Zip Code:98501-3727
Mailing Address - Country:US
Mailing Address - Phone:360-970-9878
Mailing Address - Fax:
Practice Address - Street 1:2038 CENTERWOOD DR SE
Practice Address - Street 2:
Practice Address - City:OLYMPIA
Practice Address - State:WA
Practice Address - Zip Code:98501-3727
Practice Address - Country:US
Practice Address - Phone:360-970-9878
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-12-21
Last Update Date:2020-12-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QM0850XAmbulatory Health Care FacilitiesClinic/CenterAdult Mental Health