Provider Demographics
NPI:1912371345
Name:CREATIVE HEALTH INC.
Entity Type:Organization
Organization Name:CREATIVE HEALTH INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:THERAPIST
Authorized Official - Prefix:
Authorized Official - First Name:WILLIAM
Authorized Official - Middle Name:PAUL
Authorized Official - Last Name:WILKINSON
Authorized Official - Suffix:III
Authorized Official - Credentials:LMFT
Authorized Official - Phone:610-948-6490
Mailing Address - Street 1:1 MENNONITE CHURCH RD
Mailing Address - Street 2:
Mailing Address - City:SPRING CITY
Mailing Address - State:PA
Mailing Address - Zip Code:19475-1518
Mailing Address - Country:US
Mailing Address - Phone:215-833-4052
Mailing Address - Fax:
Practice Address - Street 1:1 MENNONITE CHURCH RD
Practice Address - Street 2:
Practice Address - City:SPRING CITY
Practice Address - State:PA
Practice Address - Zip Code:19475-1518
Practice Address - Country:US
Practice Address - Phone:610-948-6490
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-11-23
Last Update Date:2015-11-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OK0000587251S00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251S00000XAgenciesCommunity/Behavioral Health