Active NPI
Creative Clinical Solutions, LLC
- Community/Behavioral Health Agency
- Travelers Rest, SC
National Provider Identifier
1124308374
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community/Behavioral Health Agency
- Legal business name
- CREATIVE CLINICAL SOLUTIONS, LLC
- Practice address
- 21 Plaza Dr Ste B
Travelers Rest, SC 29690-1662 - Phone
- (864) 836-7220
- Fax
- (864) 294-1774
- NPI assigned
- Aug 19, 2011
- 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
- Mr. Lewis Gossett, J.D.
- Title
- Member
- Phone
- (803) 608-1373
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Community/Behavioral Health Agency | 251S00000X | Primary |
Addresses
Primary practice location
21 Plaza Dr Ste B
Travelers Rest, SC 29690-1662
Mailing address
PO Box 968
Travelers Rest, SC 29690-0968
Phone (864) 836-7220
National Provider Directory
National Provider DirectoryLocations
21 Plaza Dr
Ste B
Travelers Rest, SC 29690
Phone (864) 836-7220
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1313712000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1313712000000",
"number": "1124308374",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 968",
"city": "TRAVELERS REST",
"state": "SC",
"postal_code": "296900968",
"telephone_number": "864-836-7220",
"fax_number": "864-294-1774"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "21 PLAZA DR STE B",
"city": "TRAVELERS REST",
"state": "SC",
"postal_code": "296901662",
"telephone_number": "864-836-7220",
"fax_number": "864-294-1774"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "CREATIVE CLINICAL SOLUTIONS, LLC",
"organizational_subpart": "NO",
"enumeration_date": "2011-08-19",
"last_updated": "2011-08-19",
"status": "A",
"authorized_official_last_name": "GOSSETT",
"authorized_official_first_name": "LEWIS",
"authorized_official_title_or_position": "MEMBER",
"authorized_official_telephone_number": "803-608-1373",
"authorized_official_name_prefix": "Mr.",
"authorized_official_credential": "J.D."
},
"taxonomies": [
{
"code": "251S00000X",
"taxonomy_group": "",
"desc": "Community/Behavioral Health",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Travelers Rest, SC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 19, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.