Cre8Forlife

Primary specialty

Developmentally Disabled Services Day Training AgencyTaxonomy code 251C00000X

Legal business name

CRE8FORLIFE

Practice address

149 Nautico Way
Portsmouth, VA 23703-5470

Phone

(757) 339-2995

NPI assigned

Feb 3, 2023

Organization subpart

No

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

Authorized official

Name

Ms. Shirley Davis

Title

Ceo

Phone

(757) 339-2995

Specialties & licenses 1

Addresses

Other identifiers 1

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

{
    "created_epoch": "1675382400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1675382400000",
    "number": "1053017814",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "149 NAUTICO WAY",
            "city": "PORTSMOUTH",
            "state": "VA",
            "postal_code": "237035470",
            "telephone_number": "757-339-2995"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "149 NAUTICO WAY",
            "city": "PORTSMOUTH",
            "state": "VA",
            "postal_code": "237035470",
            "telephone_number": "757-339-2995"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CRE8FORLIFE",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-02-03",
        "last_updated": "2023-02-03",
        "certification_date": "2023-02-03",
        "status": "A",
        "authorized_official_last_name": "DAVIS",
        "authorized_official_first_name": "SHIRLEY",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "757-339-2995",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "251C00000X",
            "taxonomy_group": "",
            "desc": "Day Training, Developmentally Disabled Services",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "NA",
            "state": "VA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Crawford First Education
• Evan Drew Crawford, DO
• John Joseph Crawford II, BS
• Regina N/a Crawford
• Tiffany Marie Crayton, L.P.C.
• Creating Chances of Change Behavioral & Mental Health Services
• Griffin Creekmore
• Toni Creekmur, LO
• Crescendo Therapeutic Services, LLC
• Crescent Counseling & Consulting LLC

• Developmentally Disabled Services Day Training Agency in Portsmouth, VA
• Providers in Portsmouth, VA by specialty
• Developmentally Disabled Services Day Training Agency in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 3, 2023; 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.