Creative Journey, LLC

Organization Active NPI Community/Behavioral Health Agency · Jamestown, ND

NPI 1831607910 · NPPES record last updated Jan 28, 2021

Key facts

NPI
1831607910
Entity type
Organization (NPI type 2)
Primary specialty
Community/Behavioral Health Agency 251S00000X
Legal business name
CREATIVE JOURNEY, LLC
Practice address
429 2ND St SW Ste 205
Jamestown, ND 58401
Phone
(701) 658-9032
NPI assigned
Jan 11, 2018
Organization subpart
No

Authorized official

Name
Ms. Shaulee Ahlers Iverson, MS OTR/L
Title
Coo/Administrator
Phone
(701) 658-9032

Corporate family (same tax ID) 1

Organizations that report the same tax identification number in the National Provider Directory.

Practitioners 1

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

National Provider Directory

Tax ID family
Creative Journey LLC (2 organizations share this tax ID)

Locations

429 2nd St SW
Ste 205
Jamestown, ND 58401
Phone (701) 658-9032

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Behavioral Health Agency 251S00000X Yes
Adolescent and Children Mental Health Clinic/Center 261QM0855X

Addresses

Primary practice location

429 2ND St SW Ste 205
Jamestown, ND 58401

Mailing address

419 5TH St NE # 14B
Jamestown, ND 58401-3318
Phone (701) 658-9032

Other names

  • Journey Behavioral Solutions, LLC Former legal business name

Other providers in Jamestown, ND

All providers in Jamestown, ND · Community/Behavioral Health Agency in North Dakota

Sources for this page

Verify at the official NPI Registry.