Active NPI
Creative Solutions Counseling Services PLLC
- Psychiatry Physician
- Meridian, MS
National Provider Identifier
1043734049
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatry Physician
- Legal business name
- CREATIVE SOLUTIONS COUNSELING SERVICES PLLC
- Practice address
- 902 14TH St Ste B
Meridian, MS 39301-4455 - Phone
- (601) 207-5330
- Fax
- (888) 735-7202
- NPI assigned
- Aug 1, 2017
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Lasaundra L Roberts, PMHNP
- Title
- Sole MBR
- Phone
- (601) 207-5330
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychiatric/Mental Health Registered Nurse | 163WP0808X | |||
| Psychiatry Physician | 2084P0800X | Primary |
Addresses
Primary practice location
902 14TH St Ste B
Meridian, MS 39301-4455
Mailing address
154 County Road 163
Corinth, MS 38834
Phone (662) 286-6565
National Provider Directory
National Provider DirectoryLocations
902 14th St
Ste B
Meridian, MS 39301
Phone (601) 207-5330
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1501545600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1502236800000",
"number": "1043734049",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "154 COUNTY ROAD 163",
"city": "CORINTH",
"state": "MS",
"postal_code": "38834",
"telephone_number": "662-286-6565",
"fax_number": "888-735-7202"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "902 14TH ST STE B",
"city": "MERIDIAN",
"state": "MS",
"postal_code": "393014455",
"telephone_number": "601-207-5330",
"fax_number": "888-735-7202"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "CREATIVE SOLUTIONS COUNSELING SERVICES PLLC",
"organizational_subpart": "NO",
"enumeration_date": "2017-08-01",
"last_updated": "2017-08-09",
"status": "A",
"authorized_official_last_name": "ROBERTS",
"authorized_official_first_name": "LASAUNDRA",
"authorized_official_middle_name": "L",
"authorized_official_title_or_position": "SOLE MBR",
"authorized_official_telephone_number": "601-207-5330",
"authorized_official_credential": "PMHNP"
},
"taxonomies": [
{
"code": "163WP0808X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Registered Nurse, Psychiatric/Mental Health",
"state": null,
"license": null,
"primary": false
},
{
"code": "2084P0800X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Psychiatry & Neurology, Psychiatry",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Meridian, MS
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 9, 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.