Provider Demographics
NPI:1376865543
Name:UNCONSCIOUS CREATIONS, INC.
Entity type:Organization
Organization Name:UNCONSCIOUS CREATIONS, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MISS
Authorized Official - First Name:SHEENA
Authorized Official - Middle Name:
Authorized Official - Last Name:EIZMENDIZ
Authorized Official - Suffix:
Authorized Official - Credentials:CHT, CSMC
Authorized Official - Phone:305-275-0707
Mailing Address - Street 1:7600 RED RD
Mailing Address - Street 2:SUITE 129
Mailing Address - City:SOUTH MIAMI
Mailing Address - State:FL
Mailing Address - Zip Code:33143-5428
Mailing Address - Country:US
Mailing Address - Phone:305-275-0707
Mailing Address - Fax:786-472-7164
Practice Address - Street 1:7600 RED RD
Practice Address - Street 2:SUITE 129
Practice Address - City:SOUTH MIAMI
Practice Address - State:FL
Practice Address - Zip Code:33143-5428
Practice Address - Country:US
Practice Address - Phone:305-275-0707
Practice Address - Fax:786-472-7164
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-02-16
Last Update Date:2010-02-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes174H00000XOther Service ProvidersHealth EducatorGroup - Single Specialty