CREATIVE LIFE BEHAVIORAL HEALTH SERVICE NPI 1932446069

NPI Information

CREATIVE LIFE BEHAVIORAL HEALTH SERVICE is a counselor in Las Vegas, NV. The provider is a provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master's degree and clinical experience and supervision for licensure or certification. CREATIVE LIFE BEHAVIORAL HEALTH SERVICE NPI is 1932446069. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

5175 CAMINO AL NORTE
LAS VEGAS, NV
ZIP 89031
Phone: (702) 648-3913

The provider's authorized official is Ieasha Nicole Pettus .
The authorized official title is Bst and has the following contact phone number (702) 643-0713.

The enumeration date for this NPI number is 1/9/2013 and was last updated on 1/9/2013.

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:

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.