Creative Change, LLC
NPI #1760515498 in Ellisville, Missouri
Provider Information
- NPI Number
- 1760515498
- Entity Type
- Organization
- Organization Name
- Creative Change, LLC
- Primary Specialty
- Psychologist - Clinical
- Enumeration Date
- Mar 13, 2007
- Last Updated
- Sep 17, 2025
Practice Location
- Address
- 177 CLARKSON EXECUTIVE PARK
- City
- Ellisville
- State
- Missouri
- ZIP Code
- 63011-2176
- Phone
- (314) 962-7788
Authorized Official
- Name
- RHONDA STEWART
- Title
- BILLING MANAGER
- Phone
- (636) 893-8949
Specialties & Taxonomy Codes
| Specialty |
|---|
| Social Worker - Clinical — Clinical |
| Counselor - Professional — Professional |
| Psychologist - Clinical — Clinical |
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