Co-Creative Healing, Inc.

Primary specialty

Adult Mental Health Clinic/CenterTaxonomy code 261QM0850X

License

092864 Issued in NC

Legal business name

CO-CREATIVE HEALING, INC.

Practice address

975 Walnut St Ste 236
Cary, NC 27511-4216

Phone

(919) 274-1698

NPI assigned

Aug 31, 2007

Organization subpart

No

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

Authorized official

Name

Cathy S Bradway

Title

President/Owner

Phone

(919) 274-1698

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

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

{
    "created_epoch": "1188518400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1188518400000",
    "number": "1801080882",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "975 WALNUT ST STE 236",
            "city": "CARY",
            "state": "NC",
            "postal_code": "275114216",
            "telephone_number": "919-274-1698"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "975 WALNUT ST STE 236",
            "city": "CARY",
            "state": "NC",
            "postal_code": "275114216",
            "telephone_number": "919-274-1698"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CO-CREATIVE HEALING, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-08-31",
        "last_updated": "2007-08-31",
        "status": "A",
        "authorized_official_last_name": "BRADWAY",
        "authorized_official_first_name": "CATHY",
        "authorized_official_middle_name": "S",
        "authorized_official_title_or_position": "PRESIDENT/OWNER",
        "authorized_official_telephone_number": "919-274-1698"
    },
    "taxonomies": [
        {
            "code": "261QM0850X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adult Mental Health",
            "state": "NC",
            "license": "092864",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE",
            "identifier": "2809014",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Kristin Kelly Clowes, RD, LDN
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• Amber Elisabeth Cloyd, RBT
• Lisa Loewinger Cloyd, PH.D.
• CM Chiropractic Cary, PLLC
• Brian Stuart Coan, M.D.
• Tawnya Nadine Coates, M.S. CCC-SLP
• Cheri C Coats, MA, LCMHC, LCAS
• Katherine Johnson Coats, OD
• Cobb Home Healthcare Services LLC

• Adult Mental Health Clinic/Center in Cary, NC
• Providers in Cary, NC by specialty
• Adult Mental Health Clinic/Center in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 31, 2007; 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.