Organization Name: | ART OF CREATIVE DIMENSIONS, INC., THE |
NPI Number: | 1821352121 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | KEILA KAE KILGORE (LICENSED PROFESSIONAL COUNSELOR) |
Mailing Address: | 4 N Howell St Suite 260 Hillsdale |
State: | MI US |
Postal Code: | 492421780 |
Phone Number: | 5173151367 |
Fax Number: | 5173563267 |
NPI Enumeration Date: | 07/02/2012 |
NPI Last Update Date: | 07/02/2012 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 101Y00000X |
License Number: | 6401009781 |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | MI |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Counselor |
Taxonomy Specialization: | |
Taxonomy Definition: | A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master |