KREATIVE COUNSELING ENRICHMENT SERVICES, LLC NPI 1003004508

Counselor (Professional) in Columbia, SC

About KREATIVE COUNSELING ENRICHMENT SERVICES, LLC

Kreative Counseling Enrichment Services, Llc is a provider in Columbia, SC. The NPI number assigned to this provider is 1003004508. The practitioner's primary taxonomy code is Counselor (101YP2500X). The provider is registered as an organization and their NPI record was last updated 10 years ago. Kreative Counseling Enrichment Services, Llc operates as a single speciality business group with one or more individual providers who practice the same area of specialization.

NPI1003004508 Additional informationCallout TooltipNational Provider Indentifier (NPI)
The 10-position all-numeric identification number assigned by the NPPES to uniquely identify a health care provider.
Provider NameKREATIVE COUNSELING ENRICHMENT SERVICES, LLC
Provider Location Address2110 N BELTLINE BLVD COLUMBIA, SC 29204 Additional informationCallout TooltipProvider location address
The location address of the provider being identified. For providers with more than one physical location, this is the primary location. This address cannot include a Post Office box.
Provider Mailing AddressPO BOX 4493 COLUMBIA, SC 29240 Additional informationCallout TooltipProvider mailing address
The mailing address of the provider being identified. This address may contain the same information as the provider location address.
NPI Entity TypeOrganization Additional informationCallout TooltipEntity type code
The code describing the type of health care provider that is being assigned an NPI.
Codes are:
1 = (Person): individual human being who furnishes health care;
2 = (Non-person): entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO).
Is Sole Proprietor?N/A
Is Organization Subpart?No Additional informationCallout TooltipWhat is a subpart?
Subparts are the components and separate physical locations of organization health care providers. Examples include:
Hospital components include outpatient departments, surgical centers, psychiatric units, and laboratories. These components are often separately licensed or certified by States and may exist at physical locations other than that of the hospital of which they are a component.
Enumeration Date10-09-2007 Additional informationCallout TooltipProvider enumeration date
The date the provider was assigned a unique identifier (assigned an NPI)
Last Update Date10-09-2007 Additional informationCallout TooltipLast update date
The date that a record was last updated or changed.

Business Address

KREATIVE COUNSELING ENRICHMENT SERVICES, LLC
2110 N BELTLINE BLVD
COLUMBIA, SC
ZIP 29204
Phone: (803) 261-1621
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Mailing Address

KREATIVE COUNSELING ENRICHMENT SERVICES, LLC
PO BOX 4493
COLUMBIA, SC
ZIP 29240
Phone:

Primary Taxonomy

Taxonomy Code101YP2500X Additional informationCallout TooltipPrimary Taxonomy Code
The primary taxonomy code defines the provider type, classification, and specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
ClassificationCounselor
TypeBehavioral Health & Social Service Providers
SpecializationProfessional
License No.4739
License StateSC

Authorized Official

Authorized Official NameMS. CRYSTAL M RUSSELL LPC Additional informationCallout TooltipAuthorized official name
The name of the person authorized to submit the NPI application or to officially change data for a health care provider.
Authorized Official TitlePROFESSIONAL COUNSELOR
Authorized Official Phone(803) 261-1621

193400000X SINGLE SPECIALTY GROUP - This provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.

Map Location


KREATIVE COUNSELING ENRICHMENT SERVICES, LLC address is 2110 N BELTLINE BLVD COLUMBIA, SC 29204

Other Providers at the same location


The following provider is registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1447301114PALMETTO ADVOCATES
Organization
Counselor (Professional)2110 N BELTLINE BLVD
COLUMBIA, SC 29204
(803) 466-5223