Provider Demographics
NPI:1740765387
Name:CREATIVE HEALING, LLC
Entity Type:Organization
Organization Name:CREATIVE HEALING, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:LMHC/MENTAL HEALTH THERAPIST
Authorized Official - Prefix:
Authorized Official - First Name:YAIZA
Authorized Official - Middle Name:
Authorized Official - Last Name:SANCHEZ
Authorized Official - Suffix:
Authorized Official - Credentials:LMHC
Authorized Official - Phone:305-395-1426
Mailing Address - Street 1:1700 PATRICIA ST
Mailing Address - Street 2:
Mailing Address - City:KEY WEST
Mailing Address - State:FL
Mailing Address - Zip Code:33040-5318
Mailing Address - Country:US
Mailing Address - Phone:305-395-1426
Mailing Address - Fax:
Practice Address - Street 1:1217 WHITE ST STE 201
Practice Address - Street 2:
Practice Address - City:KEY WEST
Practice Address - State:FL
Practice Address - Zip Code:33040-3367
Practice Address - Country:US
Practice Address - Phone:305-395-1426
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2018-09-29
Last Update Date:2018-09-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251S00000XAgenciesCommunity/Behavioral Health