Creative Intelligence Services PLLC

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

Legal business name

CREATIVE INTELLIGENCE SERVICES PLLC

Practice address

125 S 4TH St
Wilmington, NC 28401-4508

Phone

(336) 389-1413

NPI assigned

Mar 19, 2018

Last updated

Mar 19, 2018By 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

David James BoltonNPI 1427101617

Title

Ceo

Phone

(336) 389-1413

Specialties & licenses 1

Addresses

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• David Bolton, M.ED., LPC

  • Mental Health Counselor
  • Wilmington, NC
  • NPI 1427101617
  Authorized official Same address or phone
• Eric James Christopher, M.D.

  • Psychiatry Physician
  • Wilmington, NC
  • NPI 1174624035
  NPD

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

{
    "created_epoch": "1521417600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1521417600000",
    "number": "1689178477",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "125 S 4TH ST",
            "city": "WILMINGTON",
            "state": "NC",
            "postal_code": "284014508"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "125 S 4TH ST",
            "city": "WILMINGTON",
            "state": "NC",
            "postal_code": "284014508",
            "telephone_number": "336-389-1413"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CREATIVE INTELLIGENCE SERVICES PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-03-19",
        "last_updated": "2018-03-19",
        "status": "A",
        "authorized_official_last_name": "BOLTON",
        "authorized_official_first_name": "DAVID",
        "authorized_official_middle_name": "JAMES",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "336-389-1413"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Mimi Elizabeth Crawley
• Phebe Lee Crawshaw, LCMHC, LCASA
• Allison Danielle Stancill Cray, FNP-C
• Lashauna Crayton, LCSWA
• Christopher Merrill Creager, NP
• William Credle, MD
• Eleanor Creech, MS, CCC-SLP
• Richard L Creech, CRNA
• Riley Creech
• Meghan L Creidler

• Mental Health Counselor in Wilmington, NC
• Providers in Wilmington, NC by specialty
• Mental Health Counselor in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 19, 2018; 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.