Creative Family Wellness, Inc

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

E.0700344 Issued in OH

Legal business name

CREATIVE FAMILY WELLNESS, INC

Practice address

3653 Darrow Rd
Suite 4
Stow, OH 44224-4012

Phone

(330) 520-0014

Fax

(844) 328-9771

NPI assigned

May 11, 2017

Organization subpart

No

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

Authorized official

Name

Ms. Morgan Marie Enright, LPCC

Title

Director

Phone

(330) 520-0014

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1494460800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1494460800000",
    "number": "1760919583",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3653 DARROW RD",
            "address_2": "SUITE 4",
            "city": "STOW",
            "state": "OH",
            "postal_code": "442244012",
            "telephone_number": "330-520-0014",
            "fax_number": "844-328-9771"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3653 DARROW RD",
            "address_2": "SUITE 4",
            "city": "STOW",
            "state": "OH",
            "postal_code": "442244012",
            "telephone_number": "330-520-0014",
            "fax_number": "844-328-9771"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CREATIVE FAMILY WELLNESS, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-05-11",
        "last_updated": "2017-05-11",
        "status": "A",
        "authorized_official_last_name": "ENRIGHT",
        "authorized_official_first_name": "MORGAN",
        "authorized_official_middle_name": "MARIE",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "330-520-0014",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "LPCC"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Mental Health",
            "state": "OH",
            "license": "E.0700344",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 11, 2017; 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.