Provider Demographics
NPI:1760919583
Name:CREATIVE FAMILY WELLNESS, INC
Entity Type:Organization
Organization Name:CREATIVE FAMILY WELLNESS, INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DIRECTOR
Authorized Official - Prefix:MS
Authorized Official - First Name:MORGAN
Authorized Official - Middle Name:MARIE
Authorized Official - Last Name:ENRIGHT
Authorized Official - Suffix:
Authorized Official - Credentials:LPCC
Authorized Official - Phone:330-520-0014
Mailing Address - Street 1:3653 DARROW RD
Mailing Address - Street 2:SUITE 4
Mailing Address - City:STOW
Mailing Address - State:OH
Mailing Address - Zip Code:44224-4012
Mailing Address - Country:US
Mailing Address - Phone:330-520-0014
Mailing Address - Fax:844-328-9771
Practice Address - Street 1:3653 DARROW RD
Practice Address - Street 2:SUITE 4
Practice Address - City:STOW
Practice Address - State:OH
Practice Address - Zip Code:44224-4012
Practice Address - Country:US
Practice Address - Phone:330-520-0014
Practice Address - Fax:844-328-9771
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2017-05-11
Last Update Date:2017-05-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OHE.0700344101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental HealthGroup - Multi-Specialty