Creative Change, Inc.

LBN: Creative Change, Inc.
Creative Change, Inc. is an health care organization with primary practice located at 5331 Commercial Way Ste 212 , Spring Hill FL 34606-1426. The organization recently has only one registered license in Behavioral Health & Social Service Providers / Mental Health, which is considered as the primary health care specialty. Creative Change, Inc. can be contacted via phone (352) 597-0969, or through Pearson, Ted Robert via phone (352) 597-0969.

Contact Information

Primary practice address
5331 Commercial Way Ste 212 Spring Hill FL 34606-1426
Fax: (352) 597-6853
Website:
Authorized official contact:
Name: Pearson, Ted Robert M.A., LMHC

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Mental Health 101YM0800X MH2746 Florida

Profile Details

NPI number 1346488491
LBN Legal business name Creative Change, Inc.
DBA Doing business as
Authorized official Pearson, Ted Robert M.A., LMHC
Entity Organization
Organization subpart 1 No
Enumeration date Jan 28th, 2009
Last updated Jan 28th, 2009 - about 15 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1346488491 NPPES
Florida Other 11915921 CAQH

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