Center for Creative Healing LLC

Primary specialty

Community/Behavioral Health AgencyTaxonomy code 251S00000X

License

613749 Issued in ME

Legal business name

CENTER FOR CREATIVE HEALING LLC

Practice address

142 High St
Suite 313
Portland, ME 04101-2851

Phone

(207) 699-4325

Fax

(207) 699-4325

NPI assigned

Feb 18, 2011

Last updated

Apr 29, 2011By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Jennifer Lunden, LCSW, LADC, CCS

Title

Executive Director

Phone

(207) 699-4325

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1297987200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1304035200000",
    "number": "1851698336",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 5051",
            "city": "PORTLAND",
            "state": "ME",
            "postal_code": "041010751",
            "telephone_number": "207-699-4325",
            "fax_number": "207-699-4325"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "142 HIGH ST",
            "address_2": "SUITE 313",
            "city": "PORTLAND",
            "state": "ME",
            "postal_code": "041012851",
            "telephone_number": "207-699-4325",
            "fax_number": "207-699-4325"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CENTER FOR CREATIVE HEALING LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-02-18",
        "last_updated": "2011-04-29",
        "status": "A",
        "authorized_official_last_name": "LUNDEN",
        "authorized_official_first_name": "JENNIFER",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "207-699-4325",
        "authorized_official_credential": "LCSW, LADC, CCS"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "ME",
            "license": "613749",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Community/Behavioral Health Agency in Portland, ME
• Providers in Portland, ME by specialty
• Community/Behavioral Health Agency in Maine

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 29, 2011; 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.