CREATIVE POTENTIAL LLC NPI 1497121933

NPI Information

  • NPI: 1497121933
  • Provider Name: CREATIVE POTENTIAL LLC
  • Classification: Counselor - 101YP2500X
  • Specialization: Professional
  • Entity Type: Organization
  • Address: 1031 NORWICH NEW LONDON TPKE UNIT 10
    UNCASVILLE, CT
    ZIP 06382
  • Phone: (860) 848-0514

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NPI Details

CREATIVE POTENTIAL LLC is a professional counselor in Uncasville, CT. CREATIVE POTENTIAL LLC NPI is 1497121933. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

1031 NORWICH NEW LONDON TPKE UNIT 10
UNCASVILLE, CT
ZIP 06382-600
Phone: (860) 848-0514
Fax: (860) 848-0523

The provider's authorized official is Sierra R Davis .
The authorized official title is Owner and has the following contact phone number (860) 848-0514.

The enumeration date for this NPI number is 8/19/2015 and was last updated on 2/21/2020.

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
1101YP2500XCounselorProfessionalYes

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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