Organization Active NPI

Creative Healing Resources LLC

  • Community/Behavioral Health Agency
  • Albuquerque, NM
National Provider Identifier
1710531603
Registry record updated Jul 29, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
Legal business name
CREATIVE HEALING RESOURCES LLC
Practice address
7312 Arvada Ave NE
Albuquerque, NM 87110-4513
Phone
(505) 312-1636
NPI assigned
Jul 29, 2019
Last updated
Jul 29, 2019By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 29, 2019

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

Authorized official

Name
Cynthia Stuart-White, LPCC, LPATNPI 1770631806
Title
Member
Phone
(505) 385-8305

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Behavioral Health Agency 251S00000X NU Primary

Addresses

Primary practice location

7312 Arvada Ave NE
Albuquerque, NM 87110-4513

Mailing address

11024 Montgomery Blvd NE # 105
Albuquerque, NM 87111-3962
Phone (505) 312-1636

National Provider Directory

National Provider Directory

Locations

11005 Spain Rd NE
Ste 13
Albuquerque, NM 87111

Practitioners & affiliated clinicians

Practitioners 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1564358400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1564358400000",
    "number": "1710531603",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11024 MONTGOMERY BLVD NE # 105",
            "city": "ALBUQUERQUE",
            "state": "NM",
            "postal_code": "871113962",
            "telephone_number": "505-312-1636"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7312 ARVADA AVE NE",
            "city": "ALBUQUERQUE",
            "state": "NM",
            "postal_code": "871104513",
            "telephone_number": "505-312-1636"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CREATIVE HEALING RESOURCES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-07-29",
        "last_updated": "2019-07-29",
        "status": "A",
        "authorized_official_last_name": "STUART-WHITE",
        "authorized_official_first_name": "CYNTHIA",
        "authorized_official_title_or_position": "MEMBER",
        "authorized_official_telephone_number": "505-385-8305",
        "authorized_official_credential": "LPCC, LPAT"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Albuquerque, NM

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 29, 2019; 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.