Create Health LLC

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

141768-3501 Issued in UT

Legal business name

CREATE HEALTH LLC

Practice address

885 W Baxter Dr
South Jordan, UT 84095-8506

Phone

(801) 518-3497

Fax

(801) 446-3515

NPI assigned

Nov 18, 2016

Organization subpart

No

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

Authorized official

Name

Dorann C Mitchell, LCSW

Title

Owner

Phone

(801) 518-3497

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1479427200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1479427200000",
    "number": "1184167496",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "562 E LAND RUSH DR",
            "city": "MIDVALE",
            "state": "UT",
            "postal_code": "840474649",
            "telephone_number": "801-518-3497",
            "fax_number": "801-446-3515"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "885 W BAXTER DR",
            "city": "SOUTH JORDAN",
            "state": "UT",
            "postal_code": "840958506",
            "telephone_number": "801-518-3497",
            "fax_number": "801-446-3515"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CREATE HEALTH LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-11-18",
        "last_updated": "2016-11-18",
        "status": "A",
        "authorized_official_last_name": "MITCHELL",
        "authorized_official_first_name": "DORANN",
        "authorized_official_middle_name": "C",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "801-518-3497",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Social Worker, Clinical",
            "state": "UT",
            "license": "141768-3501",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kristi Couse, LMT, MMP
• Savannah Grace Seninger Cowley, LCSW
• Cynthia Cox, ATC, CSCS
• Matthew Nelson Cox, M.D.
• Taunya Cox, CMHC
• Creek Capital Daybreak LLC
• Crescent Health Clinic
• Austin Taylor Crocker, PA-C
• Nicole Crockett, RPH
• Megan Ellice Crookston

• Clinical Social Worker in South Jordan, UT
• Providers in South Jordan, UT by specialty
• Clinical Social Worker in Utah

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 18, 2016; 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.