Creative Counseling Center

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

6401009777 Issued in MI

Legal business name

CREATIVE COUNSELING CENTER

Practice address

808 W Chicago Blvd
Suite 14
Tecumseh, MI 49286-1666

Phone

(517) 879-5838

NPI assigned

Sep 2, 2014

Last updated

Sep 2, 2014By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Luann M Sawdey-Roberts

Title

Co Owner

Phone

(517) 879-5838

Specialties & licenses 2

Addresses

Locations

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1409616000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1409616000000",
    "number": "1225438773",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "808 W CHICAGO BLVD",
            "address_2": "SUITE 14",
            "city": "TECUMSEH",
            "state": "MI",
            "postal_code": "492861666",
            "telephone_number": "517-879-5838"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "808 W CHICAGO BLVD",
            "address_2": "SUITE 14",
            "city": "TECUMSEH",
            "state": "MI",
            "postal_code": "492861666",
            "telephone_number": "517-879-5838"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CREATIVE COUNSELING CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-09-02",
        "last_updated": "2014-09-02",
        "status": "A",
        "authorized_official_last_name": "SAWDEY-ROBERTS",
        "authorized_official_first_name": "LUANN",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "CO OWNER",
        "authorized_official_telephone_number": "517-879-5838"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "MI",
            "license": "6401009777",
            "primary": true
        },
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "MI",
            "license": "6801092595",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Professional Counselor in Tecumseh, MI
• Providers in Tecumseh, MI by specialty
• Professional Counselor in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 2, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.