Creative Minds TX LLC

Primary specialty

Community/Behavioral Health AgencyTaxonomy code 251S00000X

Legal business name

CREATIVE MINDS TX LLC

Practice address

7441 Marvin D Love Fwy
Dallas, TX 75237-3490

Phone

(469) 491-4911

NPI assigned

Jan 17, 2024

Organization subpart

No

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

Authorized official

Name

Jazzamin Clark, LIFE COACHNPI 1649541475

Title

Owner

Phone

(702) 354-1794

Specialties & licenses 4

Addresses

Practitioners 1

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

• Jazzamin Tashay Clark

  • Personal Care Attendant
  • Las Vegas, NV
  • NPI 1649541475
  NPD Authorized official

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

{
    "created_epoch": "1705449600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1731888000000",
    "number": "1861253841",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7441 MARVIN D LOVE FWY",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752373490",
            "telephone_number": "469-491-4911"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7441 MARVIN D LOVE FWY",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752373490",
            "telephone_number": "469-491-4911"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CREATIVE MINDS TX LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-01-17",
        "last_updated": "2024-11-18",
        "certification_date": "2024-11-18",
        "status": "A",
        "authorized_official_last_name": "CLARK",
        "authorized_official_first_name": "JAZZAMIN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "702-354-1794",
        "authorized_official_credential": "LIFE COACH"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Mental Health",
            "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": "106S00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Behavior Technician",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Latisha Creagh, LCSW
• Peggy Kay Creasy, PAC
• Creating Harmony
• Creating Voices, PLLC
• Creative Change Counseling
• Credence Home Health Services, Inc.
• Reece Logan Credeur, PT, DPT
• Roald Credo, MD, MS
• Annalisa Tuyet Bui Creech, FNP
• Lanesha Renee Creeks, LPC

• Community/Behavioral Health Agency in Dallas, TX
• Providers in Dallas, TX by specialty
• Community/Behavioral Health Agency in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 18, 2024; 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.