NPIMap

Organization Active NPI

Creed Integrated Behavioral Health Services, LLC

  • Community/Behavioral Health Agency
  • Lancaster, OH
National Provider Identifier
1003320169
Registry record updated Nov 28, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
Legal business name
CREED INTEGRATED BEHAVIORAL HEALTH SERVICES, LLC
Practice address
551 1/2 E Main St
Lancaster, OH 43130-3809
Phone
(614) 404-6008
NPI assigned
Nov 28, 2017
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 28, 2017

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Andria Evans
Title
Ceo
Phone
(614) 404-6008

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Behavioral Health Agency 251S00000X OH Primary

Addresses

Primary practice location

551 1/2 E Main St
Lancaster, OH 43130-3809

Mailing address

PO Box 243
Sugar Grove, OH 43155-0243
Phone (614) 404-6008

Other names 1

  • The Creed of Recovery, LLC Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Creed Integrated Behavioral Health Services LLC2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1511827200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1511827200000",
    "number": "1003320169",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 243",
            "city": "SUGAR GROVE",
            "state": "OH",
            "postal_code": "431550243",
            "telephone_number": "614-404-6008"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "551 1/2 E MAIN ST",
            "city": "LANCASTER",
            "state": "OH",
            "postal_code": "431303809",
            "telephone_number": "614-404-6008"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CREED INTEGRATED BEHAVIORAL HEALTH SERVICES, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-11-28",
        "last_updated": "2017-11-28",
        "status": "A",
        "authorized_official_last_name": "EVANS",
        "authorized_official_first_name": "ANDRIA",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "614-404-6008"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "OH",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "The Creed of Recovery, LLC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Lancaster, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 28, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.