Provider Demographics
NPI:1578913851
Name:CREATE U., LLC
Entity Type:Organization
Organization Name:CREATE U., LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:FOUNDER/LEAD THERAPIST
Authorized Official - Prefix:
Authorized Official - First Name:URSULA
Authorized Official - Middle Name:
Authorized Official - Last Name:GRAHAM
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:248-302-8976
Mailing Address - Street 1:721 LEMAY ST
Mailing Address - Street 2:
Mailing Address - City:DETROIT
Mailing Address - State:MI
Mailing Address - Zip Code:48214-4602
Mailing Address - Country:US
Mailing Address - Phone:248-302-8976
Mailing Address - Fax:
Practice Address - Street 1:971 FISCHER ST
Practice Address - Street 2:
Practice Address - City:DETROIT
Practice Address - State:MI
Practice Address - Zip Code:48214-2831
Practice Address - Country:US
Practice Address - Phone:248-302-8976
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-06-16
Last Update Date:2022-10-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental HealthGroup - Single Specialty