Creative Care Wellness LLC

Primary specialty

Substance Use Disorder Rehabilitation Clinic/CenterTaxonomy code 261QR0405X

Legal business name

CREATIVE CARE WELLNESS LLC

Practice address

920 Macaw Way
Desoto, TX 75115-7208

Phone

(773) 606-6594

NPI assigned

Nov 7, 2025

Organization subpart

No

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

Authorized official

Name

Jada Washington, APRN

Title

RN

Phone

(773) 606-6594

Specialties & licenses 3

Addresses

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

{
    "created_epoch": "1762473600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1762473600000",
    "number": "1609746486",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "920 MACAW WAY",
            "city": "DESOTO",
            "state": "TX",
            "postal_code": "751157208",
            "telephone_number": "773-606-6594"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "920 MACAW WAY",
            "city": "DESOTO",
            "state": "TX",
            "postal_code": "751157208",
            "telephone_number": "773-606-6594"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CREATIVE CARE WELLNESS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-11-07",
        "last_updated": "2025-11-07",
        "certification_date": "2025-11-07",
        "status": "A",
        "authorized_official_last_name": "WASHINGTON",
        "authorized_official_first_name": "JADA",
        "authorized_official_title_or_position": "RN",
        "authorized_official_telephone_number": "773-606-6594",
        "authorized_official_credential": "APRN"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QR0405X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rehabilitation, Substance Use Disorder",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Covenant Physical Therapy, LLC
• Emmanuel Benard Covington, LPC
• Victoria Cox-Howard
• Keiana Crain
• Lawanda Crawford
• Janae Crenshaw, RN
• Brittany Criswell
• Brian Robert Crowhurst, DO
• CRT Personal Care Assisting Service
• Crystal Mercer Therapy, PLLC

• Substance Use Disorder Rehabilitation Clinic/Center in Desoto, TX
• Providers in Desoto, TX by specialty
• Substance Use Disorder Rehabilitation Clinic/Center in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 7, 2025; 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.