Creative Care 2

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

Legal business name

CREATIVE CARE 2

Doing business as

adult creative care

Practice address

6405 Middlebelt Rd
Romulus, MI 48174-2036

Phone

(734) 895-6505

NPI assigned

Oct 18, 2013

Last updated

Oct 18, 2013By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Ms. Devan Clark

Title

Owner

Phone

(313) 713-1018

Specialties & licenses 1

Addresses

Other names 1

• adult creative care Doing business as

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

{
    "created_epoch": "1382054400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1382054400000",
    "number": "1508294059",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6405 MIDDLEBELT RD",
            "city": "ROMULUS",
            "state": "MI",
            "postal_code": "481742036",
            "telephone_number": "734-895-6505"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6405 MIDDLEBELT RD",
            "city": "ROMULUS",
            "state": "MI",
            "postal_code": "481742036",
            "telephone_number": "734-895-6505"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CREATIVE CARE 2",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-10-18",
        "last_updated": "2013-10-18",
        "status": "A",
        "authorized_official_last_name": "CLARK",
        "authorized_official_first_name": "DEVAN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "313-713-1018",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "adult creative care",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Concentra Health Services, Inc.
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• Lacharla Coy, LPN
• Cozy Comfort Employment Agency LLC
• Cross Town Home Care LLC
• Jacqueline Anne Cunningham, PT
• Alex Cleveland Cureton
• Carolyn S Currie, RPH
• Steven Dearmond Curtin, MA LLP

• Mental Health Counselor in Romulus, MI
• Providers in Romulus, MI by specialty
• Mental Health Counselor in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 18, 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.