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CREATIVE CARE CONSULTANTS LLC NPI 1720131592


NPI Information

NPI: 1720131592
Provider Name: CREATIVE CARE CONSULTANTS, LLC
Classification: Nurse Practitioner - 363LP0808X
Entity Type: Organization

Specialization: Psychiatric/Mental Health

Address:
1943 SAYBROOK CT
JONESBORO, GA
ZIP 30236
Phone: (770) 478-6091
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CREATIVE CARE CONSULTANTS, LLC is a psychiatric/mental health nurse practitioner in Jonesboro, GA. CREATIVE CARE CONSULTANTS, LLC NPI is 1720131592. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

1943 SAYBROOK CT
JONESBORO, GA
ZIP 30236-681
Phone: (770) 478-6091

The provider's authorized official is Karen Cheeseman .
The authorized official title is Ceo and has the following contact phone number (770) 478-6091.

The enumeration date for this NPI number is 1/18/2007 and was last updated on 8/22/2020.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1363LP0808XNurse PractitionerPsychiatric/Mental HealthYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

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