Creative Care, LLC

Primary specialty

Developmental Disabilities Clinic/CenterTaxonomy code 261QD1600X

Legal business name

CREATIVE CARE, LLC

Practice address

6146 Lynn Lake Dr S
St Petersburg, FL 33712-6115

Phone

(727) 318-1353

NPI assigned

Aug 16, 2018

Last updated

Aug 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

Dr. Bettina Wolff, Psy.D., PSY.D.

Title

Owner-Administrator

Phone

(727) 318-1353

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1534377600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1534377600000",
    "number": "1073093217",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6146 LYNN LAKE DR S",
            "city": "ST PETERSBURG",
            "state": "FL",
            "postal_code": "337126115",
            "telephone_number": "727-318-1353"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6146 LYNN LAKE DR S",
            "city": "ST PETERSBURG",
            "state": "FL",
            "postal_code": "337126115",
            "telephone_number": "727-318-1353"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CREATIVE CARE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-08-16",
        "last_updated": "2018-08-16",
        "status": "A",
        "authorized_official_last_name": "WOLFF, PSY.D.",
        "authorized_official_first_name": "DR. BETTINA",
        "authorized_official_title_or_position": "OWNER-ADMINISTRATOR",
        "authorized_official_telephone_number": "727-318-1353",
        "authorized_official_credential": "PSY.D."
    },
    "taxonomies": [
        {
            "code": "261QD1600X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Developmental Disabilities",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Bruce M Crawford, D.M.D.
• Christopher Daniel Crawford, D.C.
• Marguerite M Crawford, M.D.
• Thomas W Crawford, DDS
• Creative Care
• Creative Clay, Inc.
• Creative Counseling for Personal Growth, LLC
• Creative Therapies, LLC (Laura Hensley, LMHC)
• Rebecca A Crecraft, PSY.D.
• Melissa Lynn Crenshaw, M.D.

• Developmental Disabilities Clinic/Center in St Petersburg, FL
• Providers in St Petersburg, FL by specialty
• Developmental Disabilities Clinic/Center in Florida

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