CREATIVE COUNSELING CENTERS LLC NPI 1376976829

NPI Information

  • NPI: 1376976829
  • Provider Name: CREATIVE COUNSELING CENTERS, LLC
  • Classification: Community/Behavioral Health - 251S00000X
  • Entity Type: Organization
  • Address: 3270 SUNTREE BLVD
    SUITE 2233
    MELBOURNE, FL
    ZIP 32940
  • Phone: (321) 615-0990

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NPI Details

CREATIVE COUNSELING CENTERS, LLC is a community behavioral health in Melbourne, FL. The provider is a private or public agency usually under local government jurisdiction, responsible for assuring the delivery of community based mental health, intellectual disabilities, substance abuse and/or behavioral health services to individuals with those disabilities. Services may range from companion care, respite, transportation, community integration, crisis intervention and stabilization, supported employment, day support, prevocational services, residential support, therapeutic and supportive consultation, environmental modifications, intensive in-home therapy and day treatment, in addition to traditional mental health and behavioral treatment. CREATIVE COUNSELING CENTERS, LLC NPI is 1376976829. The provider is registered as an organization entity type.

The provider's business location address is:

3270 SUNTREE BLVD
SUITE 2233
MELBOURNE, FL
ZIP 32940-530
Phone: (321) 615-0990
Fax: (888) 341-8272

The provider's authorized official is Gwen Ann Mundorf .
The authorized official title is Owner/director and has the following contact phone number (321) 615-0990.

The enumeration date for this NPI number is 8/19/2013 and was last updated on 7/27/2014.

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
1251S00000XCommunity/Behavioral HealthSW10736FLORIDAYes

What is NPI?

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

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