Organization Active NPI

Healing by Creative Design, Inc

  • Emotionally Disturbed Childrens' Residential Treatment Facility
  • Lakeland, FL
National Provider Identifier
1154204618
Registry record updated Jul 30, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Emotionally Disturbed Childrens' Residential Treatment FacilityTaxonomy code 322D00000X
Legal business name
HEALING BY CREATIVE DESIGN, INC
Practice address
1616 Huntington St
Lakeland, FL 33801-5936
Phone
(813) 708-9810
NPI assigned
Jul 30, 2025
Last updated
Jul 30, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 30, 2025

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

Authorized official

Name
Mr. Paul Audin Henry
Title
President and Executive Director
Phone
(305) 610-2045

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Emotionally Disturbed Childrens' Residential Treatment Facility 322D00000X NU Primary

Addresses

Primary practice location

1616 Huntington St
Lakeland, FL 33801-5936

Mailing address

4798 S Florida Ave # 171
Lakeland, FL 33813-2181
Phone (813) 708-9810

National Provider Directory

National Provider Directory

Locations

4798 S Florida Ave
#171
Lakeland, FL 33813

NPI Registry JSON

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

{
    "created_epoch": "1753833600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1753833600000",
    "number": "1154204618",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4798 S FLORIDA AVE # 171",
            "city": "LAKELAND",
            "state": "FL",
            "postal_code": "338132181",
            "telephone_number": "813-708-9810"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1616 HUNTINGTON ST",
            "city": "LAKELAND",
            "state": "FL",
            "postal_code": "338015936",
            "telephone_number": "813-708-9810"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HEALING BY CREATIVE DESIGN, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-07-30",
        "last_updated": "2025-07-30",
        "certification_date": "2025-07-30",
        "status": "A",
        "authorized_official_last_name": "HENRY",
        "authorized_official_first_name": "PAUL",
        "authorized_official_middle_name": "AUDIN",
        "authorized_official_title_or_position": "PRESIDENT AND EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "305-610-2045",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "322D00000X",
            "taxonomy_group": "",
            "desc": "Residential Treatment Facility, Emotionally Disturbed Children",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lakeland, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 30, 2025; 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.