Creative Consulting Services, Inc,

Organization Active NPI Case Management Agency · Winder, GA

NPI 1194979708 · NPPES record last updated Nov 10, 2008

Key facts

NPI
1194979708
Entity type
Organization (NPI type 2)
Primary specialty
Case Management Agency 251B00000X
Legal business name
CREATIVE CONSULTING SERVICES, INC,
Practice address
353 Resource Pkwy
Winder, GA 30680-8364
Phone
(770) 868-5900
NPI assigned
Nov 10, 2008
Organization subpart
No

Authorized official

Name
Jennifer Ellen Vanderpool
Title
Director of Finance
Phone
(770) 868-5900

Corporate family (same tax ID) 2

Organizations that report the same tax identification number in the National Provider Directory.

National Provider Directory

Tax ID family
Creative Consulting Services Inc (3 organizations share this tax ID)

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Case Management Agency 251B00000X Yes

Addresses

Primary practice location

353 Resource Pkwy
Winder, GA 30680-8364

Mailing address

353 Resource Pkwy
Winder, GA 30680-8364
Phone (770) 868-5900

Other identifiers

IdentifierTypeStateIssuer
000770591FMedicaidGA

Other providers in Winder, GA

All providers in Winder, GA · Case Management Agency in Georgia

Sources for this page

Verify at the official NPI Registry.