Creative Living Alliance LLC

Primary specialty

CounselorTaxonomy code 101Y00000X

Legal business name

CREATIVE LIVING ALLIANCE LLC

Practice address

1206 Ohio Ave
Morrisville, PA 19067-2417

Phone

(267) 597-7679

NPI assigned

Jun 28, 2024

Organization subpart

No

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

Authorized official

Name

Michelle L Burda-Wood, RN, PRE-LIC PCNPI 1164267431

Title

Owner/Provider

Phone

(267) 597-7679

Specialties & licenses 2

Addresses

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Michelle L. Burda-Wood, PRE-LIC PC

  • Mental Health Counselor
  • Morrisville, PA
  • NPI 1164267431
  NPD Authorized official

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

{
    "created_epoch": "1719532800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1719532800000",
    "number": "1144065418",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1206 OHIO AVE",
            "city": "MORRISVILLE",
            "state": "PA",
            "postal_code": "190672417",
            "telephone_number": "267-597-7679"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1206 OHIO AVE",
            "city": "MORRISVILLE",
            "state": "PA",
            "postal_code": "190672417",
            "telephone_number": "267-597-7679"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CREATIVE LIVING ALLIANCE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-06-28",
        "last_updated": "2024-06-28",
        "certification_date": "2024-06-28",
        "status": "A",
        "authorized_official_last_name": "BURDA-WOOD",
        "authorized_official_first_name": "MICHELLE",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "OWNER/PROVIDER",
        "authorized_official_telephone_number": "267-597-7679",
        "authorized_official_credential": "RN, PRE-LIC PC"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "171400000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Health & Wellness Coach",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jacquelyn Fawn Catalini, M.A., CCC-SLP
• Stacey Chaffee
• Christopher Cinardo, OT
• Delila Colon
• Continuing Care Solutions LLC
• Aleha Cruz
• Mary Iris Cruz, PT
• Barbara Brigitte Deegan, RD, LDN
• Design for Vision Inc.
• Bernard James Dicasimirro, D.O.

• Counselor in Morrisville, PA
• Providers in Morrisville, PA by specialty
• Counselor in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 28, 2024; 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.