Provider Demographics
NPI:1811647985
Name:CRUME CREATIVE SOLUTIONS LLC
Entity type:Organization
Organization Name:CRUME CREATIVE SOLUTIONS LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER AND HEAD CLINICIAN
Authorized Official - Prefix:
Authorized Official - First Name:ANGENETTE
Authorized Official - Middle Name:
Authorized Official - Last Name:BURNS
Authorized Official - Suffix:
Authorized Official - Credentials:LMHC
Authorized Official - Phone:910-964-5390
Mailing Address - Street 1:9805 STATESVILLE RD STE 6533
Mailing Address - Street 2:
Mailing Address - City:CHARLOTTE
Mailing Address - State:NC
Mailing Address - Zip Code:28269-7647
Mailing Address - Country:US
Mailing Address - Phone:910-964-5390
Mailing Address - Fax:
Practice Address - Street 1:1 WASHINGTON MALL STE 1021
Practice Address - Street 2:
Practice Address - City:BOSTON
Practice Address - State:MA
Practice Address - Zip Code:02108-2603
Practice Address - Country:US
Practice Address - Phone:508-656-0029
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-03-24
Last Update Date:2022-03-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251S00000XAgenciesCommunity/Behavioral Health