Provider Demographics
NPI:1326160698
Name:CREATIVE HUMAN SOLUTIONS, LLC
Entity Type:Organization
Organization Name:CREATIVE HUMAN SOLUTIONS, LLC
Other - Org Name:LYSSA DANEHY, LISW
Other - Org Type:Former Legal Business Name
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MS
Authorized Official - First Name:LYSSA
Authorized Official - Middle Name:MICHELLE
Authorized Official - Last Name:DANEHY
Authorized Official - Suffix:
Authorized Official - Credentials:LISW
Authorized Official - Phone:505-463-2685
Mailing Address - Street 1:PO BOX 11516
Mailing Address - Street 2:
Mailing Address - City:BAINBRIDGE ISLAND
Mailing Address - State:WA
Mailing Address - Zip Code:98110-5516
Mailing Address - Country:US
Mailing Address - Phone:505-463-2685
Mailing Address - Fax:866-531-2893
Practice Address - Street 1:8270 NE BLAKELY HEIGHTS DR
Practice Address - Street 2:
Practice Address - City:BAINBRIDGE ISLAND
Practice Address - State:WA
Practice Address - Zip Code:98110-2298
Practice Address - Country:US
Practice Address - Phone:505-463-2685
Practice Address - Fax:866-531-2893
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-04-06
Last Update Date:2013-12-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NMI-4133251S00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251S00000XAgenciesCommunity/Behavioral Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
NM68338287Medicaid
NM1326160698OtherOPTUMHEALTH
NM22051OtherHSN CREDENTIALLING & VERI
1669445367OtherTRICARE/TRIWEST
NM202004178OtherPRESBYTARIAN HEALTH PLAN
NM802588000OtherMAGELLAN INSURANCE
NMNM202639Medicaid
1326160698OtherBC/BS NM
NM95266OtherLOVELACE INSURANCE
1669445367OtherGEHA
NM68338287Medicaid