| Organization Name: | EXTENDING CREATIVE MINDS |
| NPI Number: | 1417301763 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | LAKISHA R DICKERSON (CHIEF EXECUTIVE OFFICER) |
| Mailing Address: | 5816 Tidwell Rd Houston |
| State: | TX US |
| Postal Code: | 770164744 |
| Phone Number: | 2814026667 |
| Fax Number: | 8327172781 |
| NPI Enumeration Date: | 04/22/2016 |
| NPI Last Update Date: | 06/10/2016 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 171M00000X |
| License Number: | 08693 |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | TX |
| Taxonomy Type: | Other Service Providers |
| Taxonomy Classification: | Case Manager/Care Coordinator |
| Taxonomy Specialization: | |
| Taxonomy Definition: | A person who provides case management services and assists an individual in gaining access to needed medical, social, educational, and/or other services. The person has the ability to provide an assessment and review of completed plan of care on a periodic basis. This person is also able to take collaborative action to coordinate the services with other providers and monitor the enrollee |