Provider Demographics
NPI:1831514645
Name:CREATING HARMONY
Entity type:Organization
Organization Name:CREATING HARMONY
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:DENISE
Authorized Official - Middle Name:T
Authorized Official - Last Name:HUMPHREY
Authorized Official - Suffix:
Authorized Official - Credentials:PHD
Authorized Official - Phone:972-239-2490
Mailing Address - Street 1:6330 LBJ FWY
Mailing Address - Street 2:SUITE 234
Mailing Address - City:DALLAS
Mailing Address - State:TX
Mailing Address - Zip Code:75240-6467
Mailing Address - Country:US
Mailing Address - Phone:972-239-2490
Mailing Address - Fax:972-239-4849
Practice Address - Street 1:6330 LBJ FWY
Practice Address - Street 2:SUITE 234
Practice Address - City:DALLAS
Practice Address - State:TX
Practice Address - Zip Code:75240-6467
Practice Address - Country:US
Practice Address - Phone:972-239-2490
Practice Address - Fax:972-239-4849
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2014-03-03
Last Update Date:2014-03-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX32345106H00000X, 103TC0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinicalGroup - Multi-Specialty
No106H00000XBehavioral Health & Social Service ProvidersMarriage & Family TherapistGroup - Multi-Specialty