Provider Demographics
NPI:1659071389
Name:KREATIVE BEGINNINGS
Entity Type:Organization
Organization Name:KREATIVE BEGINNINGS
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:MS
Authorized Official - First Name:TAYA
Authorized Official - Middle Name:SHAVEZ
Authorized Official - Last Name:WILLIAMS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:803-807-3351
Mailing Address - Street 1:2314 QUAIL CREEK CT
Mailing Address - Street 2:
Mailing Address - City:HOPKINS
Mailing Address - State:SC
Mailing Address - Zip Code:29061-9430
Mailing Address - Country:US
Mailing Address - Phone:803-807-3351
Mailing Address - Fax:
Practice Address - Street 1:2314 QUAIL CREEK CT
Practice Address - Street 2:
Practice Address - City:HOPKINS
Practice Address - State:SC
Practice Address - Zip Code:29061-9430
Practice Address - Country:US
Practice Address - Phone:803-807-3351
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-03-09
Last Update Date:2023-03-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes252Y00000XAgenciesEarly Intervention Provider Agency