Creatively, LLC

Primary specialty

Community/Behavioral Health AgencyTaxonomy code 251S00000X

License

LC4473 Issued in MD

Legal business name

CREATIVELY, LLC

Practice address

5570 Sterrett PL
Ste 100
Columbia, MD 21044-2641

Phone

(443) 741-2294

NPI assigned

Feb 17, 2017

Organization subpart

No

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

Authorized official

Name

Cynthia Cisneros, LCPC

Title

Sole Proprietor

Phone

(443) 741-2294

Specialties & licenses 2

Addresses

Locations

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

{
    "created_epoch": "1487289600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1487289600000",
    "number": "1245779685",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9379 RUSTLING LEAF",
            "city": "COLUMBIA",
            "state": "MD",
            "postal_code": "210455212"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5570 STERRETT PL",
            "address_2": "STE 100",
            "city": "COLUMBIA",
            "state": "MD",
            "postal_code": "210442641",
            "telephone_number": "443-741-2294"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CREATIVELY, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-02-17",
        "last_updated": "2017-02-17",
        "status": "A",
        "authorized_official_last_name": "CISNEROS",
        "authorized_official_first_name": "CYNTHIA",
        "authorized_official_title_or_position": "SOLE PROPRIETOR",
        "authorized_official_telephone_number": "443-741-2294",
        "authorized_official_credential": "LCPC"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "MD",
            "license": "LC4473",
            "primary": true
        },
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "VA",
            "license": "701006308",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Symone Crawford
• Tracie Crawford, RN, BSN
• Catherine Susan Craycraft, RN
• John Paul Creagh, M.D.
• Created Balance Therapy
• Colleen Crisafulli
• Kimberly Louise Critz, R.N.
• Crkalodner Psychological Services LLC
• Ainigriv Crockett, LCPC
• Jessica Ann Cronin, MD

• Community/Behavioral Health Agency in Columbia, MD
• Providers in Columbia, MD by specialty
• Community/Behavioral Health Agency in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 17, 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.