Creative Wellness Group, LLC

Primary specialty

Health EducatorTaxonomy code 174H00000X

License

020819 Issued in NY

Legal business name

CREATIVE WELLNESS GROUP, LLC

Practice address

726 Main St Uppr
East Aurora, NY 14052-1904

Phone

(716) 310-6268

NPI assigned

Feb 6, 2017

Organization subpart

No

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

Authorized official

Name

Susan Ida Garguiolo, LMT

Title

Owner

Phone

(716) 310-6268

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1486339200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1486339200000",
    "number": "1144768516",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "726 MAIN ST UPPR",
            "city": "EAST AURORA",
            "state": "NY",
            "postal_code": "140521904",
            "telephone_number": "716-310-6268"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "726 MAIN ST UPPR",
            "city": "EAST AURORA",
            "state": "NY",
            "postal_code": "140521904",
            "telephone_number": "716-310-6268"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CREATIVE WELLNESS GROUP, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-02-06",
        "last_updated": "2017-02-06",
        "status": "A",
        "authorized_official_last_name": "GARGUIOLO",
        "authorized_official_first_name": "SUSAN",
        "authorized_official_middle_name": "IDA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "716-310-6268",
        "authorized_official_credential": "LMT"
    },
    "taxonomies": [
        {
            "code": "174H00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Health Educator",
            "state": "NY",
            "license": "020819",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Tobias Wilson Corcoran, DDS
• Shawn Cotton, M.D.
• Council Opticians of East Aurora
• Christine A Cox, ANP
• Darci Beth Cramer, PH.D.
• Kristin Diane Crosson
• Michael John Curry, DPM
• CVS Albany LLC
• George T Danakas, M.D.
• Jennifer Lynn Davis, NP

• Health Educator in East Aurora, NY
• Providers in East Aurora, NY by specialty
• Health Educator in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 6, 2017; 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.