Provider Demographics
NPI:1124730965
Name:CREATIVE ALTERNATIVES COUNSELING AND CONSULTING, PLLC
Entity type:Organization
Organization Name:CREATIVE ALTERNATIVES COUNSELING AND CONSULTING, PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/LEAD THERAPIST
Authorized Official - Prefix:
Authorized Official - First Name:CHRISTOPHER
Authorized Official - Middle Name:TRAVIS
Authorized Official - Last Name:MEYER
Authorized Official - Suffix:
Authorized Official - Credentials:MS, LPC, NCC
Authorized Official - Phone:910-964-4808
Mailing Address - Street 1:3906 ACCRINGTON CT
Mailing Address - Street 2:
Mailing Address - City:CORPUS CHRISTI
Mailing Address - State:TX
Mailing Address - Zip Code:78414-3884
Mailing Address - Country:US
Mailing Address - Phone:910-964-4808
Mailing Address - Fax:
Practice Address - Street 1:3906 ACCRINGTON CT
Practice Address - Street 2:
Practice Address - City:CORPUS CHRISTI
Practice Address - State:TX
Practice Address - Zip Code:78414-3884
Practice Address - Country:US
Practice Address - Phone:910-964-4808
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-12-22
Last Update Date:2022-12-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessionalGroup - Single Specialty