Creative Community Support, LLC

Primary specialty

Community/Behavioral Health AgencyTaxonomy code 251S00000X

Legal business name

CREATIVE COMMUNITY SUPPORT, LLC

Practice address

1206 Evans St Ste 12
Greenville, NC 27834-4102

Phone

(252) 413-0546

NPI assigned

Nov 21, 2007

Last updated

Nov 29, 2007By 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

Mr. Sallahdeen Spruill

Title

Ceo

Phone

(252) 413-0546

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1195603200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1196294400000",
    "number": "1518148279",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "740 GREENVILLE BLVD SE STE 400",
            "city": "GREENVILLE",
            "state": "NC",
            "postal_code": "278585135"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1206 EVANS ST STE 12",
            "city": "GREENVILLE",
            "state": "NC",
            "postal_code": "278344102",
            "telephone_number": "252-413-0546"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CREATIVE COMMUNITY SUPPORT, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-11-21",
        "last_updated": "2007-11-29",
        "status": "A",
        "authorized_official_last_name": "SPRUILL",
        "authorized_official_first_name": "SALLAHDEEN",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "252-413-0546",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Emerson G Crawford Jr., DDS
• Laura Catherine Crawford, CRNA
• Tiana Crawford
• Shaterrica Nicole Crawley, MS, CCC-SLP
• Danielle Crayton, MSW, LCSW-A
• Creative Living Center
• Michelle Creech-Sutton, CMF
• Nicole Darden Creech
• Rhonda Tyndall Creech, RNC NNP
• Devin Patrick Cregan

• Community/Behavioral Health Agency in Greenville, NC
• Providers in Greenville, 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 Nov 29, 2007; 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.