Provider Demographics
NPI:1578905493
Name:CREATIVE ENDEAVORS, LLC
Entity Type:Organization
Organization Name:CREATIVE ENDEAVORS, LLC
Other - Org Name:TRANSITIONS COUNSELING
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MR
Authorized Official - First Name:SEAN
Authorized Official - Middle Name:
Authorized Official - Last Name:SLEVIN
Authorized Official - Suffix:
Authorized Official - Credentials:LMFT, LPC, MA MFTC
Authorized Official - Phone:540-908-2045
Mailing Address - Street 1:250 E MARKET ST
Mailing Address - Street 2:SUITE D
Mailing Address - City:HARRISONBURG
Mailing Address - State:VA
Mailing Address - Zip Code:22801-4100
Mailing Address - Country:US
Mailing Address - Phone:540-908-2045
Mailing Address - Fax:
Practice Address - Street 1:250 E MARKET ST
Practice Address - Street 2:SUITE D
Practice Address - City:HARRISONBURG
Practice Address - State:VA
Practice Address - Zip Code:22801-4100
Practice Address - Country:US
Practice Address - Phone:540-908-2045
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2013-07-19
Last Update Date:2013-10-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA0701005603101YP2500X
VA0717001277106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family TherapistGroup - Multi-Specialty
No101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessionalGroup - Multi-Specialty