Creative Restoration and Guidance

Primary specialty

Community/Behavioral Health AgencyTaxonomy code 251S00000X

License

10017 Issued in NC

Legal business name

CREATIVE RESTORATION AND GUIDANCE

Practice address

8303 Plano CT
Raleigh, NC 27616-6640

Phone

(919) 824-7789

NPI assigned

Mar 21, 2017

Last updated

Mar 21, 2017By 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

Miss Christishawn Gore, MA LPC, NCC, LCAS-ANPI 1366884868

Title

President

Phone

(919) 824-7789

Specialties & licenses 1

Addresses

Other identifiers 1

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Christishawn Rebecca Gore, MA LPC

  • Professional Counselor
  • Raleigh, NC
  • NPI 1366884868
  NPD (past) Authorized official

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

{
    "created_epoch": "1490054400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1490054400000",
    "number": "1891226015",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 220",
            "city": "ROLESVILLE",
            "state": "NC",
            "postal_code": "275710220",
            "telephone_number": "919-824-7789"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8303 PLANO CT",
            "city": "RALEIGH",
            "state": "NC",
            "postal_code": "276166640",
            "telephone_number": "919-824-7789"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CREATIVE RESTORATION AND GUIDANCE",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-03-21",
        "last_updated": "2017-03-21",
        "status": "A",
        "authorized_official_last_name": "GORE",
        "authorized_official_first_name": "CHRISTISHAWN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "919-824-7789",
        "authorized_official_name_prefix": "Miss",
        "authorized_official_credential": "MA LPC, NCC, LCAS-A"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "NC",
            "license": "10017",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "19GVD",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Create a Journey, LLC
• Creating a New Start in Recovery Inc.
• Creating a New Start LLC
• Creative Kind ABA LLC
• Creative Psychotherapy, PC
• Creative Therapies, PLLC
• Crecer Therapy & Counseling PLLC
• Creech Road Supervised Gare (Ezekiel Wilson)
• Adam Creech, MD
• Heather Creech, MED, BCBA, LBA

• Community/Behavioral Health Agency in Raleigh, NC
• Providers in Raleigh, 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 Mar 21, 2017; 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.