Creative Healers, LLC

Primary specialty

Counseling PsychologistTaxonomy code 103TC1900X

Legal business name

CREATIVE HEALERS, LLC

Practice address

650 Church St RM 313
Plymouth, MI 48170-1689

Phone

(734) 215-7202

Fax

(856) 997-1717

NPI assigned

Dec 8, 2020

Organization subpart

No

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

Authorized official

Name

Jacquelyn J Tobey, MA LLPNPI 1730466632

Title

Psychotherapist, Owner

Phone

(734) 968-6480

Specialties & licenses 1

Addresses

Locations

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.

• Jacquelyn Juanita Tobey, LLP

  • Psychologist
  • Plymouth, MI
  • NPI 1730466632
  NPD Authorized official

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

{
    "created_epoch": "1607385600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1620604800000",
    "number": "1952907610",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "650 CHURCH ST RM 313",
            "city": "PLYMOUTH",
            "state": "MI",
            "postal_code": "481701689",
            "telephone_number": "734-215-7202",
            "fax_number": "856-997-1717"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "650 CHURCH ST RM 313",
            "city": "PLYMOUTH",
            "state": "MI",
            "postal_code": "481701689",
            "telephone_number": "734-215-7202",
            "fax_number": "856-997-1717"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CREATIVE HEALERS, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-12-08",
        "last_updated": "2021-05-10",
        "certification_date": "2021-05-08",
        "status": "A",
        "authorized_official_last_name": "TOBEY",
        "authorized_official_first_name": "JACQUELYN",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "PSYCHOTHERAPIST, OWNER",
        "authorized_official_telephone_number": "734-968-6480",
        "authorized_official_credential": "MA LLP"
    },
    "taxonomies": [
        {
            "code": "103TC1900X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychologist, Counseling",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kamryn Crain
• Casandra Cranick
• Joshua K Crawford, COTA/L
• Todd Eric Crawford
• Create Space Therapy, PLLC
• Shannon Creed
• Chelsey Creel
• Tori N Crenshaw
• Markaia Crim
• Timothy Crisan

• Counseling Psychologist in Plymouth, MI
• Providers in Plymouth, MI by specialty
• Counseling Psychologist in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 10, 2021; 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.