Organization Name: | CREATIVE INTERVENTIONS, LLC |
NPI Number: | 1497768287 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | CHRISTA AUCREMANNE (MEMBER) |
Mailing Address: | 14 Grove Ave Reedsville |
State: | WV US |
Postal Code: | 265470437 |
Phone Number: | 3046804673 |
Fax Number: | |
NPI Enumeration Date: | 08/14/2006 |
NPI Last Update Date: | 07/08/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 1041C0700X |
License Number: | |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | WV |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Social Worker |
Taxonomy Specialization: | Clinical |
Taxonomy Definition: | A social worker who holds a master |