TINKER CREEK CREATIVE COUNSELING, LLC (NPI# 1710498209) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1710498209 |
| Entity Type | Organization |
| Organization Name | TINKER CREEK CREATIVE COUNSELING, LLC |
| Practice Address |
8245 Williamson Rd Roanoke VA 24019-6951 |
| Mailing Address |
4754 Meadow Crossing Ln Ne Roanoke VA 24019-5874 |
| Practice Telephone | 5402937601 |
| Mailing Telephone | 5402937601 |
| Enumeration Date | 2017-10-24 |
| Last Update Date | 2017-10-24 |
| Authorized Official Name | MRS. CHRISTIN VAUGHN (OWNER/LPC) |
| Authorized Official Telephone | 5402937601 |
| Authorized Official Credential | LPC |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QM0801X |
Clinic/Center Specialization: Mental Health (Including Community Mental Health Center) |
VA | Ambulatory Health Care Facilities |
| Street Address |
8245 WILLIAMSON RD |
| City | ROANOKE |
| State | VA |
| Zip Code | 24019-6951 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1053951301 | Christina Debra O'neal | Pharmacist | 6460 Grand Retreat Drive Apt 3037, Roanoke, VA 24019 | 2020-01-14 |
| 1235785114 | Amy M. Tharp | Pathology | 6600 Northside High School Rd., Roanoke, VA 24019 | 2019-08-15 |
| 1821586892 | Emtech Laboratories Inc. | Hearing Aid Equipment | 7745 Garland Circle, Roanoke, VA 24019 | 2018-04-25 |
| 1518471176 | Catherine Backus | Music Therapist | 8231 Williamson Rd, Roanoke, VA 24019 | 2017-11-18 |
| 1023475597 | Emily Howel; | Physical Therapy Assistant | 345 Bryant Rd, Roanoke, VA 24019 | 2016-01-28 |
| 1194060541 | St. Vincent's Home, Inc. | Day Training, Developmentally Disabled Services | 312 Whitwell Drive, Roanoke, VA 24019 | 2012-12-11 |
| 1215237946 | Wal-mart Stores East Lp | Technician/Technologist | 5350 Clearbrook Village Lane, Roanoke, VA 24019 | 2010-10-28 |
| 1396063160 | Affiliated Rehab, P.C. | Physical Therapist | 5012 Plantation Rd, Roanoke, VA 24019 | 2010-05-04 |
| 1952562811 | Dominion Youth Services | Community Based Residential Treatment Facility, Mental Illness | 4802 Northridge Lane, Roanoke, VA 24019 | 2008-06-23 |
| 1487732673 | Family Preservation Services, Inc | Community/Behavioral Health | 2002 Dale Ave, Roanoke, VA 24019 | 2006-11-02 |
| Find all providers in zip 24019 | ||||
| Taxonomy Code | 261QM0801X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Mental Health (Including Community Mental Health Center) |
| Definition to come... |
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| 1437137734 | Blue Ridge Behavioral Healthcare | Clinic/Center | 301 Elm Ave Sw, Roanoke, VA 24016-4001 | 2006-01-06 |
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| 1528330800 | Walter B. Blair,m.d., Inc | Clinic/Center | 5115 Bernard Dr, Suite 101, Roanoke, VA 24018-4357 | 2012-02-02 |
| 1225364243 | Braley & Thompson | Clinic/Center | 2965 Colonnade Dr, Suite 130, Roanoke, VA 24018-3557 | 2009-10-27 |
| 1144277237 | Carilion Behavioral Health, Inc | Clinic/Center | 213 S Jefferson St, Suite 801, Roanoke, VA 24011-1705 | 2006-05-27 |
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| Find all providers with the same taxonomy | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.