Creative Healing, PLLC

Primary specialty

Community/Behavioral Health AgencyTaxonomy code 251S00000X

License

C008545 Issued in NC

Legal business name

CREATIVE HEALING, PLLC

Practice address

143 Lofton Dr
Fayetteville, NC 28311-3431

Phone

(910) 527-0458

NPI assigned

Aug 21, 2014

Organization subpart

No

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

Authorized official

Name

Erika C Raynor, LCSW, MSW

Title

Owner, Dba

Phone

(910) 527-0458

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1408579200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1432598400000",
    "number": "1255730677",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 9261",
            "city": "FAYETTEVILLE",
            "state": "NC",
            "postal_code": "283119083",
            "telephone_number": "910-527-0458",
            "fax_number": "910-568-3741"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "143 LOFTON DR",
            "city": "FAYETTEVILLE",
            "state": "NC",
            "postal_code": "283113431",
            "telephone_number": "910-527-0458"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CREATIVE HEALING, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-08-21",
        "last_updated": "2015-05-26",
        "status": "A",
        "authorized_official_last_name": "RAYNOR",
        "authorized_official_first_name": "ERIKA",
        "authorized_official_middle_name": "C",
        "authorized_official_title_or_position": "OWNER, DBA",
        "authorized_official_telephone_number": "910-527-0458",
        "authorized_official_credential": "LCSW, MSW"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "NC",
            "license": "C008545",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Decia Butler Crawford, BT
• Sharon Crawford, BA
• Tanaeya Crawford, RBT
• Wanda McCray Crawford, LCSW
• Creative Blessings Home Healthcare Agency Inc
• Creative Minds Healthcare PLLC
• Creative Play LP
• Creative Southern Care
• Carl Rufus Creech, PHARMD
• Judith Stanley Creech, LPC

• Community/Behavioral Health Agency in Fayetteville, NC
• Providers in Fayetteville, NC by specialty
• Community/Behavioral Health Agency in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 26, 2015; 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.