Provider Demographics
NPI:1477367191
Name:CREATIVE PIECES LLC
Entity type:Organization
Organization Name:CREATIVE PIECES LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:TINA
Authorized Official - Middle Name:RENEE
Authorized Official - Last Name:WILLIAMS-BOONE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:757-725-8687
Mailing Address - Street 1:863 LUCAS CREEK RD
Mailing Address - Street 2:
Mailing Address - City:NEWPORT NEWS
Mailing Address - State:VA
Mailing Address - Zip Code:23608-3406
Mailing Address - Country:US
Mailing Address - Phone:757-725-8687
Mailing Address - Fax:
Practice Address - Street 1:13195 WARWICK BLVD
Practice Address - Street 2:SUITE 2E OFFICE 5
Practice Address - City:NEWPORT NEWS
Practice Address - State:VA
Practice Address - Zip Code:23602-8313
Practice Address - Country:US
Practice Address - Phone:757-725-8687
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-02-04
Last Update Date:2025-02-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251C00000XAgenciesDay Training, Developmentally Disabled Services