Provider Demographics
NPI:1376193797
Name:CREATIVE PATHWAYS, INC
Entity Type:Organization
Organization Name:CREATIVE PATHWAYS, INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:DR
Authorized Official - First Name:JOHN
Authorized Official - Middle Name:LEWIS
Authorized Official - Last Name:MONROE
Authorized Official - Suffix:JR
Authorized Official - Credentials:
Authorized Official - Phone:240-375-1957
Mailing Address - Street 1:602 SEMINOLE CREEK WAY
Mailing Address - Street 2:
Mailing Address - City:SILVER SPRING
Mailing Address - State:MD
Mailing Address - Zip Code:20904-3572
Mailing Address - Country:US
Mailing Address - Phone:240-375-1957
Mailing Address - Fax:
Practice Address - Street 1:2918 MINNESOTA AVENUE SOUTHEAST
Practice Address - Street 2:
Practice Address - City:WASHINGTON
Practice Address - State:DC
Practice Address - Zip Code:20019-3572
Practice Address - Country:US
Practice Address - Phone:240-375-1957
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-09-17
Last Update Date:2023-12-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes261QR0405XAmbulatory Health Care FacilitiesClinic/CenterRehabilitation, Substance Use DisorderGroup - Multi-Specialty
No101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)Group - Multi-Specialty
No251B00000XAgenciesCase Management
No251E00000XAgenciesHome Health
No253Z00000XAgenciesIn Home Supportive Care
No261Q00000XAmbulatory Health Care FacilitiesClinic/Center
No261QM0801XAmbulatory Health Care FacilitiesClinic/CenterMental Health (Including Community Mental Health Center)
No314000000XNursing & Custodial Care FacilitiesSkilled Nursing Facility
No324500000XResidential Treatment FacilitiesSubstance Abuse Rehabilitation Facility