Creative Care Resorces

Primary specialty

CounselorTaxonomy code 101Y00000X

License

1009412-4-WS Issued in MN

Legal business name

CREATIVE CARE RESORCES

Practice address

14985 Glazier Ave
Suite 105
Apple Valley, MN 55124-7484

Phone

(952) 432-7710

Fax

(952) 432-5360

NPI assigned

Jan 30, 2007

Organization subpart

No

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

Authorized official

Name

Sheila Brennan Williams

Title

Cfo

Phone

(952) 432-7710

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1170115200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1598801938",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14985 GLAZIER AVE",
            "address_2": "SUITE 105",
            "city": "APPLE VALLEY",
            "state": "MN",
            "postal_code": "551247484",
            "telephone_number": "952-432-7710",
            "fax_number": "952-432-5360"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14985 GLAZIER AVE",
            "address_2": "SUITE 105",
            "city": "APPLE VALLEY",
            "state": "MN",
            "postal_code": "551247484",
            "telephone_number": "952-432-7710",
            "fax_number": "952-432-5360"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CREATIVE CARE RESORCES",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-30",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "WILLIAMS",
        "authorized_official_first_name": "SHEILA",
        "authorized_official_middle_name": "BRENNAN",
        "authorized_official_title_or_position": "CFO",
        "authorized_official_telephone_number": "952-432-7710"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor",
            "state": "MN",
            "license": "1009412-4-WS",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Spencer Corrigan
• Bridget Couderc, LPCC
• Racheal Cowan
• Katherine Ann Cowles, DC
• Stephen Joseph Craane, MD
• John Crecca Jr., LPCC
• Adriana Marie Cusinato
• CVS Caremark Minuteclinic
• Virginia D'Angelo, LMFT
• Parker Dahlgren, DC

• Counselor in Apple Valley, MN
• Providers in Apple Valley, MN by specialty
• Counselor in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.