Provider Demographics
NPI:1780145839
Name:CREATIVE HOPE LLC
Entity type:Organization
Organization Name:CREATIVE HOPE LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CLINICIAN & OWNER
Authorized Official - Prefix:
Authorized Official - First Name:CRISTINA
Authorized Official - Middle Name:
Authorized Official - Last Name:CALAMITA
Authorized Official - Suffix:
Authorized Official - Credentials:LPC, ATR-BC, CLAT
Authorized Official - Phone:860-850-2852
Mailing Address - Street 1:56 ARBOR ST STE 306
Mailing Address - Street 2:
Mailing Address - City:HARTFORD
Mailing Address - State:CT
Mailing Address - Zip Code:06106-1225
Mailing Address - Country:US
Mailing Address - Phone:860-850-2852
Mailing Address - Fax:860-413-0922
Practice Address - Street 1:56 ARBOR ST
Practice Address - Street 2:
Practice Address - City:HARTFORD
Practice Address - State:CT
Practice Address - Zip Code:06106-1222
Practice Address - Country:US
Practice Address - Phone:860-850-2852
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-03-29
Last Update Date:2025-02-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101Y00000XBehavioral Health & Social Service ProvidersCounselorGroup - Single Specialty
No251S00000XAgenciesCommunity/Behavioral HealthGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
CT1902262827Medicaid