Creighton Oaks Treatment Services Management, LLC

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

Legal business name

CREIGHTON OAKS TREATMENT SERVICES MANAGEMENT, LLC

Practice address

11313 Long Dr
Conroe, TX 77302

Phone

(713) 384-3908

NPI assigned

Sep 22, 2023

Organization subpart

No

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

Authorized official

Name

Konstantin Savvon

Title

Ceo

Phone

(713) 384-3908

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1695340800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1695340800000",
    "number": "1700665445",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "697 EDGEWOOD DR",
            "city": "MONTGOMERY",
            "state": "TX",
            "postal_code": "773568431",
            "telephone_number": "713-384-3908"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11313 LONG DR",
            "city": "CONROE",
            "state": "TX",
            "postal_code": "77302",
            "telephone_number": "713-384-3908"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CREIGHTON OAKS TREATMENT SERVICES MANAGEMENT, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-09-22",
        "last_updated": "2023-09-22",
        "certification_date": "2023-09-21",
        "status": "A",
        "authorized_official_last_name": "SAVVON",
        "authorized_official_first_name": "KONSTANTIN",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "713-384-3908"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Professional",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Professional Counselor in Conroe, TX
• Providers in Conroe, TX by specialty
• Professional Counselor in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 22, 2023; 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.