Creative Challenge Outreach, Inc

Primary specialty

Voluntary or Charitable AgencyTaxonomy code 251V00000X

License

590-226 Issued in WI

Legal business name

CREATIVE CHALLENGE OUTREACH, INC

Practice address

3252 N 1St St
Milwaukee, WI 53212-2061

Phone

(414) 264-4522

Fax

(414) 264-2316

NPI assigned

Jan 5, 2011

Organization subpart

No

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

Authorized official

Name

Miss Vivian Marie Houston, M.S., PHD

Title

Director/Psychotherapist

Phone

(414) 736-9882

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1294185600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1529452800000",
    "number": "1982908919",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3252 N 1ST ST",
            "city": "MILWAUKEE",
            "state": "WI",
            "postal_code": "532122061",
            "telephone_number": "414-264-4522",
            "fax_number": "414-264-2316"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3252 N 1ST ST",
            "city": "MILWAUKEE",
            "state": "WI",
            "postal_code": "532122061",
            "telephone_number": "414-264-4522",
            "fax_number": "414-264-2316"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CREATIVE CHALLENGE OUTREACH, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-01-05",
        "last_updated": "2018-06-20",
        "status": "A",
        "authorized_official_last_name": "HOUSTON",
        "authorized_official_first_name": "VIVIAN",
        "authorized_official_middle_name": "MARIE",
        "authorized_official_title_or_position": "DIRECTOR/PSYCHOTHERAPIST",
        "authorized_official_telephone_number": "414-736-9882",
        "authorized_official_name_prefix": "Miss",
        "authorized_official_credential": "M.S., PHD"
    },
    "taxonomies": [
        {
            "code": "251V00000X",
            "taxonomy_group": "",
            "desc": "Voluntary or Charitable",
            "state": "WI",
            "license": "590-226",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kaitlin A Creasap, NP
• Creating a Better You LLC
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• Creating-a-Way LLC
• Creative Care Family Service LLC
• Creative Connections Therapies LLC
• Creative Counseling of Milwaukee
• Creative Family Service, LLC
• Sara Elizabeth Creighton, M.D.
• Jacquelyn J Crema, C.AC., L.AC.

• Voluntary or Charitable Agency in Milwaukee, WI
• Providers in Milwaukee, WI by specialty
• Voluntary or Charitable Agency in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 20, 2018; 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.