Provider Demographics
NPI:1932708815
Name:CREATIVE SOLUTIONS CONSULTING AND ADVOCACY LLC
Entity Type:Organization
Organization Name:CREATIVE SOLUTIONS CONSULTING AND ADVOCACY LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:AMY
Authorized Official - Middle Name:
Authorized Official - Last Name:SANDY
Authorized Official - Suffix:
Authorized Official - Credentials:LCSW
Authorized Official - Phone:913-638-8896
Mailing Address - Street 1:1221 W 103RD ST # 179
Mailing Address - Street 2:
Mailing Address - City:KANSAS CITY
Mailing Address - State:MO
Mailing Address - Zip Code:64114-4512
Mailing Address - Country:US
Mailing Address - Phone:913-638-8896
Mailing Address - Fax:
Practice Address - Street 1:8407 W 97TH TER
Practice Address - Street 2:
Practice Address - City:OVERLAND PARK
Practice Address - State:KS
Practice Address - Zip Code:66212-3341
Practice Address - Country:US
Practice Address - Phone:913-638-8896
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-10-21
Last Update Date:2020-10-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinicalGroup - Multi-Specialty