M2 CREATIVE NPI 1770985004

NPI Information

  • NPI: 1770985004
  • Provider Name: M2 CREATIVE
  • Classification: Psychologist - 103TA0400X
  • Specialization: Addiction (Substance Use Disorder)
  • Entity Type: Organization
  • Doing Business As: MELROSE COMMUNITY HEALTH CLINIC
  • Address: 6715 MELROSE AVE
    LOS ANGELES, CA
    ZIP 90038
  • Phone: (888) 870-2201

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NPI Details

M2 CREATIVE is an addiction (substance use disorder) psychologist in Los Angeles, CA. The provider is a psychologist with a proficiency that involves the application of psychological treatment of addiction stemming from the use of alcohol and other psychoactive substances (e.g., nicotine, marijuana, cocaine, heroin) or behavioral addictions (e.g., gambling) with the aim of cessation or reduction of use and/or the amelioration of emotional, behavioral, interpersonal and other problems arising from the addictive behavior. M2 CREATIVE NPI is 1770985004. The provider is registered as an organization entity type and is a multi-specialty group.
The provider Is Doing Business As Melrose Community Health Clinic.

The provider's business location address is:

6715 MELROSE AVE
LOS ANGELES, CA
ZIP 90038-411
Phone: (888) 870-2201

The provider's authorized official is Craig Smith .
The authorized official title is Medical Director and has the following contact phone number (888) 870-2201.

The enumeration date for this NPI number is 9/18/2014 and was last updated on 9/18/2014.

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
1103TP0016XPsychologistPrescribing (Medical)61164CALIFORNIANo
2323P00000XPsychiatric Residential Treatment FacilityNo
3324500000XSubstance Abuse Rehabilitation FacilityG61164CALIFORNIANo
4103TA0400XPsychologistAddiction (Substance Use Disorder)G61164CALIFORNIAYes

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

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