CREATIVE COUNSELING GROUP, LLC (NPI# 1386178838) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1386178838 |
| Entity Type | Organization |
| Organization Name | CREATIVE COUNSELING GROUP, LLC |
| Practice Address |
1928 Proctor Ave Orlando FL 32817-4200 |
| Practice Telephone | 4078108319 |
| Mailing Telephone | 4078108319 |
| Enumeration Date | 2017-04-11 |
| Last Update Date | 2017-04-11 |
| Authorized Official Name | MR. TYLER ALLEN CONNER (OWNER) |
| Authorized Official Telephone | 4078108319 |
| Authorized Official Credential | MA, RMHCI |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 251S00000X | Community/Behavioral Health | IMH14125 | FL | Agencies |
| Street Address |
1928 PROCTOR AVE |
| City | ORLANDO |
| State | FL |
| Zip Code | 32817-4200 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1710387394 | Gloria Arias | Counselor | 1928 Proctor Ave, Orlando, FL 32817-4200 | 2014-09-02 |
| 1861000226 | Jessica Pincombe | Dietitian, Registered | 1928 Proctor Ave, Orlando, FL 32817-4200 | 2020-07-21 |
| 1063035897 | Psychology & Developmental Clinic, LLC | Psychologist | 1928 Proctor Ave, Orlando, FL 32817-4200 | 2020-05-27 |
| 1699308916 | Micheline Maalouf | Counselor | 1928 Proctor Ave, Orlando, FL 32817-4200 | 2020-02-14 |
| 1083130843 | Marizayda Torres | Counselor | 1928 Proctor Ave, Orlando, FL 32817-4200 | 2017-08-14 |
| 1033588660 | Adriana Garcia | Psychologist | 1928 Proctor Ave, Orlando, FL 32817 | 2015-09-24 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1720690886 | Ideal Dental of University Pointe | Dentist | 11871 University Blvd, Suite 110, Orlando, FL 32817 | 2020-08-20 |
| 1598373573 | Lifespan Therapy Services Inc | Clinic/Center | 9472 East Colonial Drive, Orlando, FL 32817 | 2020-07-16 |
| 1750937157 | Jacqueline Mary Mullay | Speech-Language Pathologist | 4780 Data Court, Orlando, FL 32817 | 2019-08-13 |
| 1457907784 | Austin Bermudez | Physical Therapist | 4780 Data Court, Orlando, Orlando, FL 32817 | 2019-08-13 |
| 1902306244 | Cinthia Paola Gascon Sierra | Behavioral Analyst | 3101 Lake Eastern Blvd Apt 202, Orlando, FL 32817 | 2018-02-13 |
| 1740703032 | Maeleen Chua | Physical Therapist | 3452 Lake Lynda Drive, Suite 200, Orlando, FL 32817 | 2017-07-19 |
| 1669829693 | Katherine Schwab | Counselor | 2562 Rouse Road, Orlando, FL 32817 | 2016-05-19 |
| 1487009569 | Parth Shah | Specialist | 3452 Lake Lynda Dr Ste 151, Orlando, FL 32817 | 2016-04-26 |
| 1801258223 | Jessica Ruch | Occupational Therapy Assistant | 3452 Lake Lynda Dr. Suite 200, Jackson Therapy Partners, Orlando, FL 32817 | 2016-03-24 |
| 1679938823 | Aventus Health LLC | Clinical Medical Laboratory | 11301 Corporate Blvd Ste 315, Orlando, FL 32817 | 2015-12-15 |
| Find all providers in zip 32817 | ||||
| Taxonomy Code | 251S00000X |
| Grouping | Agencies |
| Classification | Community/Behavioral Health |
| A private or public agency usually under local government jurisdiction, responsible for assuring the delivery of community based mental health, mental retardation, 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. |
| Notes: Source: National Medicaid EDI HIPAA NPI Sub Work Group [1/1/2007: modified definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1093314031 | Pleasant Behavioral Health Systems LLC | Community/Behavioral Health | 7200 Lake Ellenor Dr Ste 200, Orlando, FL 32809-6200 | 2020-10-21 |
| 1942819495 | Oasis Counseling Services | Community/Behavioral Health | 11954 Narcoossee Rd., Ste 2 #278, Orlando, FL 32832 | 2020-07-29 |
| 1770109480 | Victor Felix | Community/Behavioral Health | 8612 Venezia Dr Apt 2312, Orlando, FL 32810-2439 | 2020-06-18 |
| 1558986935 | One Hope United | Community/Behavioral Health | 5749 Westgate Dr Ste 302, Orlando, FL 32835-5040 | 2020-06-11 |
| 1205462041 | Vigor Health Plus II, LLC | Community/Behavioral Health | 3505 Lake Lynda Drive Bldg 300, Ste 200, Orlando, FL 32817-8333 | 2020-03-12 |
| 1235762154 | Complete Behavior Services, LLC | Community/Behavioral Health | 2034 Gamboge Dr, Orlando, FL 32822-8337 | 2020-02-19 |
| 1588214258 | Luc Bitjad | Community/Behavioral Health | 6021 Harcourt Ave, Orlando, FL 32809-4327 | 2019-09-16 |
| 1023668811 | Katartizo Inc | Community/Behavioral Health | 1414 Shady Lane Dr, Orlando, FL 32804-6138 | 2019-09-13 |
| 1760049464 | Right Away Management Services Inc | Community/Behavioral Health | 6750 N Orange Blossom Trl Ste B3, Orlando, FL 32810-4082 | 2019-05-29 |
| 1003472325 | Zuleishka Barreto | Community/Behavioral Health | 1765 Grand Pt Blvd, Orlando, FL 32839-5801 | 2019-05-13 |
| Find all providers in ORLANDO | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.