| Creative Therapeutic Space, Pllc | |
|
23211 Red River Dr Katy TX 77494-2031 | |
| (832) 779-3201 | |
| Not Available |
| Full Name | Creative Therapeutic Space, Pllc |
|---|---|
| Speciality | Counselor - Professional |
| Location | 23211 Red River Dr, Katy, Texas |
| Authorized Official Name and Position | Kristal Ann Dunn (MEMBER) |
| Authorized Official Contact | 9032927681 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Creative Therapeutic Space, Pllc 22400 Westheimer Pkwy Apt 310 Katy TX 77450-8268 Ph: (832) 779-3201 | Creative Therapeutic Space, Pllc 23211 Red River Dr Katy TX 77494-2031 Ph: (832) 779-3201 |
| NPI Number | 1013509645 |
|---|---|
| Provider Enumeration Date | 02/04/2021 |
| Last Update Date | 02/05/2024 |
| Certification Date | 02/05/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1013509645 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YP2500X | Counselor - Professional | (* (Not Available)) | Primary |
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