Provider Demographics
NPI:1851523054
Name:CREATIVE THERAPY SOLUTIONS, LLC
Entity Type:Organization
Organization Name:CREATIVE THERAPY SOLUTIONS, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:SPEECH LANGUAGE PATHOLOGIST
Authorized Official - Prefix:MRS
Authorized Official - First Name:LESLI
Authorized Official - Middle Name:
Authorized Official - Last Name:BASSFORD
Authorized Official - Suffix:
Authorized Official - Credentials:MS, CCC-SLP
Authorized Official - Phone:512-497-4885
Mailing Address - Street 1:485 CHAMA TRCE
Mailing Address - Street 2:
Mailing Address - City:DRIPPING SPRINGS
Mailing Address - State:TX
Mailing Address - Zip Code:78620-5311
Mailing Address - Country:US
Mailing Address - Phone:512-497-4885
Mailing Address - Fax:512-894-2122
Practice Address - Street 1:485 CHAMA TRCE
Practice Address - Street 2:
Practice Address - City:DRIPPING SPRINGS
Practice Address - State:TX
Practice Address - Zip Code:78620-5311
Practice Address - Country:US
Practice Address - Phone:512-497-4885
Practice Address - Fax:512-894-2122
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-08-20
Last Update Date:2023-02-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX109945225100000X
TX100330235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language PathologistGroup - Multi-Specialty
No225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical TherapistGroup - Multi-Specialty