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CREATIVE WELLNESS INSTITUTE NPI 1639666837


NPI Information

NPI: 1639666837
Provider Name: CREATIVE WELLNESS INSTITUTE

Doing Business As: CREATIVE WELLNESS INSTITUTE

Classification: Clinic/Center - 261QM0855X
Entity Type: Organization

Specialization: Adolescent and Children Mental Health

Address:
1713 E WALNUT ST
PASADENA, CA
ZIP 91106
Phone: (602) 299-4679
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CREATIVE WELLNESS INSTITUTE is an adolescent and children mental health clinic center in Pasadena, CA. The provider is an entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to mental and behavioral disorders in children and adolescents. Services may be provided to parents and family members of the patient in the form of conjoint, group, or individual therapy, and education and/or training. CREATIVE WELLNESS INSTITUTE NPI is 1639666837. The provider is registered as an organization entity type.
The provider Is Doing Business As Creative Wellness Institute.

The provider's business location address is:

1713 E WALNUT ST
PASADENA, CA
ZIP 91106-611
Phone: (602) 299-4679

The provider's authorized official is Ceccily Bednash .
The authorized official title is President and has the following contact phone number (602) 299-4679.

The enumeration date for this NPI number is 4/13/2018 and was last updated on 4/13/2018.


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 CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1251S00000XCommunity/Behavioral HealthNo
2252Y00000XEarly Intervention Provider AgencyNo
3261QD1600XClinic/CenterDevelopmental DisabilitiesNo
4261QM0850XClinic/CenterAdult Mental HealthNo
5261QM0855XClinic/CenterAdolescent and Children Mental HealthYes
6261QR0400XClinic/CenterRehabilitationNo

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: 4/28/2024

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