Create Healing Counseling Services PLLC

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

2011C Issued in AR

Legal business name

CREATE HEALING COUNSELING SERVICES PLLC

Doing business as

Create Healing Counseling Services PLLC

Practice address

1501 N University Ave Ste 700
Little Rock, AR 72207-5297

Phone

(501) 940-6135

Fax

(844) 235-2943

NPI assigned

Jul 18, 2017

Last updated

Jun 16, 2018By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Stasia Lyn Myers, LCSW

Title

President

Phone

(501) 940-6135

Specialties & licenses 1

Addresses

Other identifiers 2

Other names 2

• Create Healing Counseling Services PLLC Doing business as
• Stasia L. Myers, LCSW Other name

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

{
    "created_epoch": "1500336000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1529107200000",
    "number": "1013430479",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10 CHERRY CREST CV",
            "city": "LITTLE ROCK",
            "state": "AR",
            "postal_code": "722115437",
            "telephone_number": "501-940-6135",
            "fax_number": "844-235-2943"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1501 N UNIVERSITY AVE STE 700",
            "city": "LITTLE ROCK",
            "state": "AR",
            "postal_code": "722075297",
            "telephone_number": "501-940-6135",
            "fax_number": "844-235-2943"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CREATE HEALING COUNSELING SERVICES PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-07-18",
        "last_updated": "2018-06-16",
        "status": "A",
        "authorized_official_last_name": "MYERS",
        "authorized_official_first_name": "STASIA",
        "authorized_official_middle_name": "LYN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "501-940-6135",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "AR",
            "license": "2011C",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AHIN",
            "identifier": "E3982",
            "state": "AR"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI TYPE 1",
            "identifier": "1790720415",
            "state": "AR"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Create Healing Counseling Services PLLC",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Stasia L. Myers, LCSW",
            "code": "5",
            "type": "Other Name"
        },
        {
            "organization_name": "Stasia L. Myers, LCSW",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Ashley Crawley, PHARMD
• Cheree Carol Crawley, APRN
• Tamara Crawley
• Aquiria Crayton
• Katie Brooke Creamer, BT
• Create Space Counseling
• Creating Space Therapy, LLC
• Creative Practice, LLC
• Lisa Credo, M.D.
• Paul W Creel, OTR/L CHT

• Clinical Social Worker in Little Rock, AR
• Providers in Little Rock, AR by specialty
• Clinical Social Worker in Arkansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 16, 2018; 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.