Creative Residential LLC

Primary specialty

Intellectual and/or Developmental Disabilities Residential Treatment FacilityTaxonomy code 320600000X

Legal business name

CREATIVE RESIDENTIAL LLC

Practice address

59 Leominster St
Westminster, MA 01473-1517

Phone

(804) 497-9326

NPI assigned

Apr 7, 2026

Organization subpart

No

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

Authorized official

Name

Oluyinka Fadahunsi, DR.

Title

Owner

Phone

(804) 497-9326

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1775520000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1775520000000",
    "number": "1487596847",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "59 LEOMINSTER ST",
            "city": "WESTMINSTER",
            "state": "MA",
            "postal_code": "014731517",
            "telephone_number": "804-497-9326"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "59 LEOMINSTER ST",
            "city": "WESTMINSTER",
            "state": "MA",
            "postal_code": "014731517",
            "telephone_number": "804-497-9326"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CREATIVE RESIDENTIAL LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-04-07",
        "last_updated": "2026-04-07",
        "certification_date": "2026-04-06",
        "status": "A",
        "authorized_official_last_name": "FADAHUNSI",
        "authorized_official_first_name": "OLUYINKA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "804-497-9326",
        "authorized_official_credential": "DR."
    },
    "taxonomies": [
        {
            "code": "320600000X",
            "taxonomy_group": "",
            "desc": "Residential Treatment Facility, Intellectual and/or Developmental Disabilities",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Nychele Theresa Clark, LMHC
• Colleen Cole
• Krystina Collazo, BCBA, LABA
• Marcia Conant, PHD
• Brandon Brian Cordio, MS
• Crosswalk Behavioral Health Inc.
• Marisa Bianca Crowley
• Kathleen Elizabeth Dalton, CNP
• Daniel H Ervin DO PC
• Ernestina Danso, DNP, APRN, PMHNP-BC.

• Intellectual and/or Developmental Disabilities Residential Treatment Facility in Westminster, MA
• Providers in Westminster, MA by specialty
• Intellectual and/or Developmental Disabilities Residential Treatment Facility in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 7, 2026; 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.