Provider Demographics
NPI:1740828987
Name:CREATIVITY TRANSFORMS
Entity type:Organization
Organization Name:CREATIVITY TRANSFORMS
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MRS
Authorized Official - First Name:ELAINA
Authorized Official - Middle Name:D
Authorized Official - Last Name:WHITTENHALL
Authorized Official - Suffix:
Authorized Official - Credentials:LPC-AT, ATR-BC
Authorized Official - Phone:512-675-1873
Mailing Address - Street 1:3939 BEE CAVES RD STE A204
Mailing Address - Street 2:
Mailing Address - City:WEST LAKE HILLS
Mailing Address - State:TX
Mailing Address - Zip Code:78746-6429
Mailing Address - Country:US
Mailing Address - Phone:512-675-1873
Mailing Address - Fax:
Practice Address - Street 1:3939 BEE CAVES RD STE A204
Practice Address - Street 2:
Practice Address - City:WEST LAKE HILLS
Practice Address - State:TX
Practice Address - Zip Code:78746-6429
Practice Address - Country:US
Practice Address - Phone:512-675-1873
Practice Address - Fax:512-287-5531
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-12-18
Last Update Date:2023-08-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes221700000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersArt TherapistGroup - Single Specialty
No101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessionalGroup - Single Specialty