Organization Active NPI

Creative Clinical Solutions, LLC

  • Community/Behavioral Health Agency
  • Travelers Rest, SC
National Provider Identifier
1124308374
Registry record updated Aug 19, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
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

Updated by the provider on Aug 19, 2011

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)CodeLicenseStatePrimary
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 Directory

Locations

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.

Verify at the official NPI Registry.