Provider Demographics
NPI:1508446790
Name:CREATIVE INSIGHTS COUNSELING PLLC
Entity Type:Organization
Organization Name:CREATIVE INSIGHTS COUNSELING PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:SOLE MEMBER
Authorized Official - Prefix:
Authorized Official - First Name:ALLISON
Authorized Official - Middle Name:S
Authorized Official - Last Name:CARDEW
Authorized Official - Suffix:
Authorized Official - Credentials:MA LLP
Authorized Official - Phone:248-802-0445
Mailing Address - Street 1:31275 NORTHWESTERN HWY STE 120
Mailing Address - Street 2:
Mailing Address - City:FARMINGTON HILLS
Mailing Address - State:MI
Mailing Address - Zip Code:48334-2578
Mailing Address - Country:US
Mailing Address - Phone:248-802-0445
Mailing Address - Fax:
Practice Address - Street 1:31275 NORTHWESTERN HWY STE 120
Practice Address - Street 2:
Practice Address - City:FARMINGTON HILLS
Practice Address - State:MI
Practice Address - Zip Code:48334-2578
Practice Address - Country:US
Practice Address - Phone:248-802-0445
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-04-12
Last Update Date:2021-04-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes103TC2200XBehavioral Health & Social Service ProvidersPsychologistClinical Child & AdolescentGroup - Single Specialty