Creative Spirits LLC

Primary specialty

Community/Behavioral Health AgencyTaxonomy code 251S00000X

License

800216 Issued in KY

Legal business name

CREATIVE SPIRITS LLC

Practice address

12730 Townepark Way
Louisville, KY 40243-2303

Phone

(502) 254-9555

Fax

(502) 254-9554

NPI assigned

Apr 26, 2016

Organization subpart

No

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

Authorized official

Name

Cassandra D Harris-Gray, LCADC

Title

Executive Director

Phone

(502) 254-9555

Specialties & licenses 1

Addresses

Locations

Practitioners 3

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

• Cassandra Gray, LMFT

  • Addiction (Substance Use Disorder) Counselor
  • Louisville, KY
  • NPI 1619303583
  NPD (past)
• Lisa Marie McNear

  • Mental Health Counselor
  • Louisville, KY
  • NPI 1073802534
  NPD (past)
• Mark Anthony Slaughter Jr., LMFT

  • Marriage & Family Therapist
  • Louisville, KY
  • NPI 1912657008
  NPD (past)

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

{
    "created_epoch": "1461628800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1461628800000",
    "number": "1194170266",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12730 TOWNEPARK WAY",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "402432303",
            "telephone_number": "502-254-9555",
            "fax_number": "502-254-9554"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12730 TOWNEPARK WAY",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "402432303",
            "telephone_number": "502-254-9555",
            "fax_number": "502-254-9554"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CREATIVE SPIRITS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-04-26",
        "last_updated": "2016-04-26",
        "status": "A",
        "authorized_official_last_name": "HARRIS-GRAY",
        "authorized_official_first_name": "CASSANDRA",
        "authorized_official_middle_name": "D",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "502-254-9555",
        "authorized_official_credential": "LCADC"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "KY",
            "license": "800216",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Justin Steven Creasy, PHARMD
• Stephen Michael Creasy, PHARM.D.
• Creating Connection PLLC
• Creative Counseling Solutions PLLC
• Creative Family Counseling
• Katie Crecelius
• Sue Crecelius, M.D.
• John Lewis Creech III, DMD
• Lauren Ashley Creech
• Peter William Creech, MD

• Community/Behavioral Health Agency in Louisville, KY
• Providers in Louisville, KY by specialty
• Community/Behavioral Health Agency in Kentucky

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 26, 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.