Provider Demographics
NPI:1235475831
Name:CREATING PARTNERSHIP LLC
Entity Type:Organization
Organization Name:CREATING PARTNERSHIP LLC
Other - Org Name:COUNCIL FOR RELATIONSHIPS
Other - Org Type:Doing Business As
Authorized Official - Title/Position:SOCIAL WORKER
Authorized Official - Prefix:MR
Authorized Official - First Name:GEORGE
Authorized Official - Middle Name:CORNELIUS
Authorized Official - Last Name:HALL
Authorized Official - Suffix:
Authorized Official - Credentials:MSW, LCSW
Authorized Official - Phone:484-885-3177
Mailing Address - Street 1:317 EXTON CMNS
Mailing Address - Street 2:COUNCIL FOR RELATIONSHIPS-EXTON OFFICE
Mailing Address - City:EXTON
Mailing Address - State:PA
Mailing Address - Zip Code:19341-2450
Mailing Address - Country:US
Mailing Address - Phone:215-382-6680
Mailing Address - Fax:484-341-8008
Practice Address - Street 1:40 FOX HOLLOW RD
Practice Address - Street 2:
Practice Address - City:DOWNINGTOWN
Practice Address - State:PA
Practice Address - Zip Code:19335-1890
Practice Address - Country:US
Practice Address - Phone:484-885-3177
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2012-12-31
Last Update Date:2014-09-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
1041C0700X, 207QG0300X
PACW0157251041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinicalGroup - Multi-Specialty
No207QG0300XAllopathic & Osteopathic PhysiciansFamily MedicineGeriatric MedicineGroup - Multi-Specialty