Organization Active NPI

Kreative Mindz Counseling and Consulting

  • Early Intervention Provider Agency
  • Florence, SC
National Provider Identifier
1295184976
Registry record updated Jun 3, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Early Intervention Provider AgencyTaxonomy code 252Y00000X
Legal business name
KREATIVE MINDZ COUNSELING AND CONSULTING
Practice address
1521 McLure CT
Florence, SC 29505-6174
Phone
(843) 598-6605
NPI assigned
Jun 3, 2016
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 3, 2016

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

Authorized official

Name
Ms. Rosalyn Moore, MS, CAS, CC
Title
Ceo, Therapist
Phone
(843) 598-6605

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Early Intervention Provider Agency 252Y00000X Primary

Addresses

Primary practice location

1521 McLure CT
Florence, SC 29505-6174

Mailing address

1521 McLure CT
Florence, SC 29505-6174
Phone (843) 598-6605

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1464912000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1464912000000",
    "number": "1295184976",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1521 MCLURE CT",
            "city": "FLORENCE",
            "state": "SC",
            "postal_code": "295056174",
            "telephone_number": "843-598-6605"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1521 MCLURE CT",
            "city": "FLORENCE",
            "state": "SC",
            "postal_code": "295056174",
            "telephone_number": "843-598-6605"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KREATIVE MINDZ COUNSELING AND CONSULTING",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-06-03",
        "last_updated": "2016-06-03",
        "status": "A",
        "authorized_official_last_name": "MOORE",
        "authorized_official_first_name": "ROSALYN",
        "authorized_official_title_or_position": "CEO, THERAPIST",
        "authorized_official_telephone_number": "843-598-6605",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "MS, CAS, CC"
    },
    "taxonomies": [
        {
            "code": "252Y00000X",
            "taxonomy_group": "",
            "desc": "Early Intervention Provider Agency",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Florence, SC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 3, 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.