CREATIVE WELLNESS GROUP LLC NPI 1144768516

NPI Information

  • NPI: 1144768516
  • Provider Name: CREATIVE WELLNESS GROUP, LLC
  • Classification: Health Educator - 174H00000X
  • Entity Type: Organization
  • Address: 726 MAIN ST UPPR
    EAST AURORA, NY
    ZIP 14052
  • Phone: (716) 310-6268

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NPI Details

CREATIVE WELLNESS GROUP, LLC is a health educator in East Aurora, NY. The provider is health educators work in a variety of settings providing education to individuals or groups of individuals on healthy behaviors, wellness, and health-related topics with the goal of preventing diseases and health problems. Health educators generally require a bachelor's degree and may receive additional training, such as through mentoring, internships, or volunteer work. CREATIVE WELLNESS GROUP, LLC NPI is 1144768516. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

726 MAIN ST UPPR
EAST AURORA, NY
ZIP 14052-904
Phone: (716) 310-6268

The provider's authorized official is Susan Ida Garguiolo .
The authorized official title is Owner and has the following contact phone number (716) 310-6268.

The enumeration date for this NPI number is 2/6/2017 and was last updated on 2/6/2017.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1174H00000XHealth Educator020819NEW YORKYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
1=========OTHERNEW YORKBLUE CROSS BLUE SHIELD

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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