Creative Minds Healthcare PLLC

Primary specialty

Community/Behavioral Health AgencyTaxonomy code 251S00000X

Legal business name

CREATIVE MINDS HEALTHCARE PLLC

Practice address

2829 Arlington Ave
Fayetteville, NC 28303-5403

Phone

(910) 676-8019

NPI assigned

Jun 10, 2022

Organization subpart

No

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

Authorized official

Name

Kimberly L Davis

Title

Credentialing Specialists

Phone

(912) 373-4385

Specialties & licenses 6

Addresses

Locations

Practitioners 7

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Monica Latreece Byrd, LCSWA

  • Clinical Social Worker
  • Fayetteville, NC
  • NPI 1235948068
  NPD
• Amanda K Ross, LCSWA

  • Clinical Social Worker
  • Fayetteville, NC
  • NPI 1205409380

  Addiction (Substance Use Disorder)

  NPD
• Thomas Washington II, LCSWA

  • Clinical Social Worker
  • Fayetteville, NC
  • NPI 1669344198
  NPD
• Latonya Benjamin, CADC-I

  • Addiction (Substance Use Disorder) Counselor
  • Fayetteville, NC
  • NPI 1053238089
  NPD (past)
• Jordan Galloway

  • Clinical Social Worker
  • Fayetteville, NC
  • NPI 1023861424

  Addiction (Substance Use Disorder)

  NPD (past)
• Deja Grier, LCSWA

  • Clinical Social Worker
  • Fayetteville, NC
  • NPI 1174455026
  NPD (past)
• Abraham Watson, LCSWA

  • Clinical Social Worker
  • Fayetteville, NC
  • NPI 1649103383
  NPD (past)

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

{
    "created_epoch": "1654819200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1782259200000",
    "number": "1801526116",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3813 SHIRE ST",
            "city": "HOPE MILLS",
            "state": "NC",
            "postal_code": "283482995",
            "telephone_number": "910-676-8019"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2829 ARLINGTON AVE",
            "city": "FAYETTEVILLE",
            "state": "NC",
            "postal_code": "283035403",
            "telephone_number": "910-676-8019"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "426 Harris Ave",
            "address_purpose": "LOCATION",
            "city": "Raeford",
            "state": "NC",
            "postal_code": "283763112",
            "country_code": "US",
            "telephone_number": "910-676-8019",
            "fax_number": "910-676-8009",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2827 Arlington Ave",
            "address_purpose": "LOCATION",
            "city": "Fayetteville",
            "state": "NC",
            "postal_code": "283035403",
            "country_code": "US",
            "telephone_number": "910-461-9291",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "CREATIVE MINDS HEALTHCARE PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-06-10",
        "last_updated": "2026-06-24",
        "certification_date": "2026-06-24",
        "status": "A",
        "authorized_official_last_name": "DAVIS",
        "authorized_official_first_name": "KIMBERLY",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "CREDENTIALING SPECIALISTS",
        "authorized_official_telephone_number": "912-373-4385"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "101YA0400X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Professional",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sharon Crawford, BA
• Tanaeya Crawford, RBT
• Wanda McCray Crawford, LCSW
• Creative Blessings Home Healthcare Agency Inc
• Creative Healing, PLLC
• Creative Play LP
• Creative Southern Care
• Carl Rufus Creech, PHARMD
• Judith Stanley Creech, LPC
• Creekside Assisted Living LLC

• Community/Behavioral Health Agency in Fayetteville, NC
• Providers in Fayetteville, NC by specialty
• Community/Behavioral Health Agency in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 24, 2026; 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.