Creative Renewal & Resolutions

LBN: Creative Renewal & Resolutions, Llc
Creative Renewal & Resolutions is an health care organization with primary practice located at 1531 E Bradford Pkwy Ste 210-4, Springfield MO 65804-6566. The organization recently has 8 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder), Behavioral Health & Social Service Providers / Cognitive & Behavioral, Behavioral Health & Social Service Providers / Clinical, Behavioral Health & Social Service Providers / Counseling, Behavioral Health & Social Service Providers / Clinical Child & Adolescent, Behavioral Health & Social Service Providers / Health Service, Behavioral Health & Social Service Providers / Group Psychotherapy, Behavioral Health & Social Service Providers / Marriage & Family Therapist. Behavioral Health & Social Service Providers / Health Service is the primary health care specialty. Creative Renewal & Resolutions, Llc can be contacted via phone (417) 890-4083, or through Black, David L via phone (417) 890-4083.

Contact Information

Primary practice address
1531 E Bradford Pkwy Ste 210-4 Springfield MO 65804-6566
Phone: (417) 890-4083
Fax: (417) 890-4091
Website:
Map and Directions
Authorized official contact:
Name: Black, David L PSYD, LCSW
Phone: (417) 890-4083

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) 103TA0400X 2009026793 Missouri
Behavioral Health & Social Service Providers / Cognitive & Behavioral 103TB0200X 2009026793 Missouri
Behavioral Health & Social Service Providers / Clinical 103TC0700X 2009026793 Missouri
Behavioral Health & Social Service Providers / Counseling 103TC1900X 2009026793 Missouri
Behavioral Health & Social Service Providers / Clinical Child & Adolescent 103TC2200X 2009026793 Missouri
Behavioral Health & Social Service Providers / Health Service 103TH0100X 2009026793 Missouri
Behavioral Health & Social Service Providers / Group Psychotherapy 103TP2701X 2009026793 Missouri
Behavioral Health & Social Service Providers / Clinical 1041C0700X 2001004284 Missouri
Behavioral Health & Social Service Providers / Marriage & Family Therapist 106H00000X 2001004284 Missouri

Profile Details

NPI number 1184915472
LBN Legal business name Creative Renewal & Resolutions, Llc
DBA Doing business as Creative Renewal & Resolutions
Authorized official Black, David L PSYD, LCSW
Entity Organization
Organization subpart 1 No
Enumeration date Apr 21st, 2011
Last updated Apr 21st, 2011 - about 14 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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