Creative Connections Comprehensive Services, LLC

Primary specialty

Community/Behavioral Health AgencyTaxonomy code 251S00000X

License

006271 Issued in GA

Legal business name

CREATIVE CONNECTIONS COMPREHENSIVE SERVICES, LLC

Practice address

798 Rays Rd
Suite 98
Stone Mountain, GA 30083-3144

Phone

(404) 704-2653

Fax

(404) 745-8273

NPI assigned

Sep 5, 2012

Organization subpart

No

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

Authorized official

Name

Ms. Sharron Cross, LPCNPI 1730414939

Title

Licensed Professional Counselor

Phone

(404) 704-2653

Specialties & licenses 1

Addresses

Locations

Practitioners 1

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

• Sharron Lashawn Cross, LPC

  • Mental Health Counselor
  • Brookhaven, GA
  • NPI 1730414939
  NPD (past) Authorized official

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

{
    "created_epoch": "1346803200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1367193600000",
    "number": "1295084317",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 495",
            "city": "AVONDALE EST",
            "state": "GA",
            "postal_code": "300020495",
            "telephone_number": "404-704-2653",
            "fax_number": "404-745-8273"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "798 RAYS RD",
            "address_2": "SUITE 98",
            "city": "STONE MOUNTAIN",
            "state": "GA",
            "postal_code": "300833144",
            "telephone_number": "404-704-2653",
            "fax_number": "404-745-8273"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CREATIVE CONNECTIONS COMPREHENSIVE SERVICES, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-09-05",
        "last_updated": "2013-04-29",
        "status": "A",
        "authorized_official_last_name": "CROSS",
        "authorized_official_first_name": "SHARRON",
        "authorized_official_title_or_position": "LICENSED PROFESSIONAL COUNSELOR",
        "authorized_official_telephone_number": "404-704-2653",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "LPC"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "GA",
            "license": "006271",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Costco Wholesale Corporation
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• Trenese Cox, LPN
• Cplace Stone Mountain SNF LLC
• Creating Sustaining Joy LLC
• Creative Solutions
• Martha H Crenshaw, MD
• Crosslinks Medical Services and Reh LLC
• Immanuel T Cruz, OTR
• CSS Management Services

• All providers in Stone Mountain, GA
• Community/Behavioral Health Agency in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 29, 2013; 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.