Provider Demographics
NPI:1770459182
Name:CREATIVE GROWTH COUNSELING
Entity type:Organization
Organization Name:CREATIVE GROWTH COUNSELING
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/THERAPIST
Authorized Official - Prefix:
Authorized Official - First Name:MEAG
Authorized Official - Middle Name:
Authorized Official - Last Name:HISSCOCK
Authorized Official - Suffix:
Authorized Official - Credentials:LCSW
Authorized Official - Phone:720-334-7835
Mailing Address - Street 1:14511 HUDSON ST
Mailing Address - Street 2:
Mailing Address - City:THORNTON
Mailing Address - State:CO
Mailing Address - Zip Code:80602-8378
Mailing Address - Country:US
Mailing Address - Phone:720-334-7835
Mailing Address - Fax:
Practice Address - Street 1:14511 HUDSON ST
Practice Address - Street 2:
Practice Address - City:THORNTON
Practice Address - State:CO
Practice Address - Zip Code:80602-8378
Practice Address - Country:US
Practice Address - Phone:720-334-7835
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-10-13
Last Update Date:2025-10-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinicalGroup - Multi-Specialty