Provider Demographics
NPI:1851720221
Name:CREATIVE SOLUTIONS THERAPY, LLC
Entity Type:Organization
Organization Name:CREATIVE SOLUTIONS THERAPY, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:VALERIE
Authorized Official - Middle Name:
Authorized Official - Last Name:MICHALOWSKI
Authorized Official - Suffix:
Authorized Official - Credentials:LCSW, MT-BC
Authorized Official - Phone:973-908-1272
Mailing Address - Street 1:363 CENTRE ST
Mailing Address - Street 2:
Mailing Address - City:NUTLEY
Mailing Address - State:NJ
Mailing Address - Zip Code:07110-4706
Mailing Address - Country:US
Mailing Address - Phone:973-908-1272
Mailing Address - Fax:
Practice Address - Street 1:363 CENTRE ST
Practice Address - Street 2:
Practice Address - City:NUTLEY
Practice Address - State:NJ
Practice Address - Zip Code:07110-4706
Practice Address - Country:US
Practice Address - Phone:973-908-1272
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2013-11-06
Last Update Date:2013-11-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ44SC054483001041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinicalGroup - Multi-Specialty