Provider Demographics
NPI:1386022671
Name:CENTER FOR CREATIVITY AND HEALING
Entity Type:Organization
Organization Name:CENTER FOR CREATIVITY AND HEALING
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DIRECTOR
Authorized Official - Prefix:
Authorized Official - First Name:MARIA
Authorized Official - Middle Name:
Authorized Official - Last Name:CURRAN
Authorized Official - Suffix:
Authorized Official - Credentials:PH D, LPCS
Authorized Official - Phone:704-523-5567
Mailing Address - Street 1:4728 PARK RD STE C
Mailing Address - Street 2:
Mailing Address - City:CHARLOTTE
Mailing Address - State:NC
Mailing Address - Zip Code:28209-3376
Mailing Address - Country:US
Mailing Address - Phone:704-523-5567
Mailing Address - Fax:
Practice Address - Street 1:4728 PARK RD STE C
Practice Address - Street 2:
Practice Address - City:CHARLOTTE
Practice Address - State:NC
Practice Address - Zip Code:28209-3376
Practice Address - Country:US
Practice Address - Phone:704-523-5567
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-05-07
Last Update Date:2015-05-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NCLPCA #A9845101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental HealthGroup - Multi-Specialty