Creative Community Living Services

Primary specialty

Assisted Living Facility (Mental Illness)Taxonomy code 3104A0625X

Legal business name

CREATIVE COMMUNITY LIVING SERVICES

Practice address

1201 Legacy Dr
1913
Plano, TX 75023

Phone

(214) 440-2411

Fax

(214) 440-2411

NPI assigned

Sep 23, 2011

Last updated

Sep 23, 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

Miss Tracy Johnson

Title

Owner

Phone

(214) 440-2411

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1316736000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1316736000000",
    "number": "1942583125",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1201 LEGACY DR",
            "address_2": "1913",
            "city": "PLANO",
            "state": "TX",
            "postal_code": "75023",
            "telephone_number": "214-440-2411",
            "fax_number": "214-440-2411"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1201 LEGACY DR",
            "address_2": "1913",
            "city": "PLANO",
            "state": "TX",
            "postal_code": "75023",
            "telephone_number": "214-440-2411",
            "fax_number": "214-440-2411"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CREATIVE COMMUNITY LIVING SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-09-23",
        "last_updated": "2011-09-23",
        "status": "A",
        "authorized_official_last_name": "JOHNSON",
        "authorized_official_first_name": "TRACY",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "214-440-2411",
        "authorized_official_name_prefix": "Miss"
    },
    "taxonomies": [
        {
            "code": "3104A0625X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility, Assisted Living, Mental Illness",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Chris Wayne Crawford, M. D.
• Keyarra Elyce Crawford, RBT
• Kimberly T Crawford, MD
• Ronald Frederick Crawford Jr., ED.D.
• Christel M. Crear, SLP
• Creative Counseling, Inc
• Creative Medical Communications
• Creek 75 Dental Group PC (Optima Dentistry at plano)
• Nadine Creel, LMT
• Crescent Cardiology Associates

• Assisted Living Facility (Mental Illness) in Plano, TX
• Providers in Plano, TX by specialty
• Assisted Living Facility (Mental Illness) in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 23, 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.