Provider Demographics
NPI:1891094504
Name:CREATIVE SOLUTIONS FOR KIDS AND FAMILIES
Entity Type:Organization
Organization Name:CREATIVE SOLUTIONS FOR KIDS AND FAMILIES
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:SARAH
Authorized Official - Middle Name:E
Authorized Official - Last Name:OWEN
Authorized Official - Suffix:
Authorized Official - Credentials:LPC
Authorized Official - Phone:816-529-3966
Mailing Address - Street 1:PO BOX 140332
Mailing Address - Street 2:
Mailing Address - City:KANSAS CITY
Mailing Address - State:MO
Mailing Address - Zip Code:64114-0332
Mailing Address - Country:US
Mailing Address - Phone:816-529-3966
Mailing Address - Fax:
Practice Address - Street 1:6301 ROCKHILL RD STE 314
Practice Address - Street 2:
Practice Address - City:KANSAS CITY
Practice Address - State:MO
Practice Address - Zip Code:64131-1117
Practice Address - Country:US
Practice Address - Phone:816-529-3966
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-03-21
Last Update Date:2011-03-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MO2008000489251S00000X
KS721251S00000X
CO1697251S00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251S00000XAgenciesCommunity/Behavioral Health