CREATIVE MINDS BEHAVIORAL HEALTH, LLC (NPI# 1588286793) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1588286793 |
| Entity Type | Organization |
| Organization Name | CREATIVE MINDS BEHAVIORAL HEALTH, LLC |
| Practice Address |
110 W Randol Mill Rd Ste 200 Arlington TX 76011-4612 |
| Practice Telephone | 2148927151 |
| Practice Fax Number | 2146029919 |
| Mailing Telephone | 2148927151 |
| Enumeration Date | 2020-05-11 |
| Last Update Date | 2020-08-30 |
| Authorized Official Name | TRALICA CLEWIS (CREDENTIAL/BILLING) |
| Authorized Official Telephone | 4695867643 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LP0808X |
Nurse Practitioner Specialization: Psych/Mental Health |
Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| TX | 389918903 | 05 |
| Street Address |
110 W RANDOL MILL RD STE 200 |
| City | ARLINGTON |
| State | TX |
| Zip Code | 76011-4612 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1952926321 | Healing Hope Behavioral Clinic LLC | Nurse Practitioner | 110 W Randol Mill Rd Ste 200, Arlington, TX 76011-4612 | 2020-06-11 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1285271361 | Shaina Jayde Arellano | Nurse Practitioner | 420 E Lamar Blvd, Ste 204, Arlington, TX 76011 | 2019-12-07 |
| 1649827536 | Epic Chiropractic Solutions Pllc | Chiropractor | 600 Six Flags Drive, Center Point Three, Suite 442, Arlington, TX 76011 | 2019-08-25 |
| 1811452162 | Daniel Max & Marcandrea LLC | Optometrist | 1705 N Collins St #141, Arlington, TX 76011 | 2019-01-31 |
| 1881196343 | Albitar Medical Consulting Pllc | Internal Medicine | 1000 Cooper Street, Arlington, TX 76011 | 2018-03-01 |
| 1467974279 | Affinity Sleep Care | Respiratory Therapist, Certified | 601 Magic Mile St, Arlington, TX 76011 | 2017-07-13 |
| 1609314392 | Post Acute Specialists, Pa | Family Medicine | 835 E Lamar Blvd # 141, Arlington, TX 76011 | 2017-02-02 |
| 1811350366 | Kristina Elayne Plano | Counselor | 1112 E. Copeland Road, Suite 310, Arlington, TX 76011 | 2016-04-01 |
| 1104298686 | North Texas Mobile Urgent Care, Pllc | Nurse Practitioner | 805 Washington Dr., Suite F, Arlington, TX 76011 | 2015-10-23 |
| 1265819916 | Etta Leora Hammie | Licensed Practical Nurse | 2327 Oakland Blvd, Ft. Worth, TX 76011 | 2015-05-01 |
| 1548675010 | Kathleen Hall Pignatelli | Licensed Vocational Nurse | 536 W. Randol Rd., Arlington, TX 76011 | 2014-06-24 |
| Find all providers in zip 76011 | ||||
| Taxonomy Code | 363LP0808X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Psych/Mental Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1821698754 | Christienne Felice Solis Callasan | Nurse Practitioner | 1010 Palos Verdes Blvd, Arlington, TX 76017-1780 | 2020-10-29 |
| 1801404504 | Olive Green Behavioral Health Services Pllc | Nurse Practitioner | 4621 S Cooper St Ste 131-497, Arlington, TX 76017-5866 | 2020-07-20 |
| 1912524687 | Judi Saini | Nurse Practitioner | 12 Old Colony Ln Apt 9, Arlington, MA 02476-4413 | 2020-06-29 |
| 1396360269 | Restoring Minds Behavioral Services LLC | Nurse Practitioner | 2909 E Arkansas Ln Ste C, Arlington, TX 76010-6930 | 2020-06-16 |
| 1497390694 | Ijeoma Esther Osuji | Nurse Practitioner | 5307 Alta Vista Lane, Arlington, TX 76017 | 2019-11-12 |
| 1194367813 | Agather Onyango | Nurse Practitioner | 725 Sendero Dr, Arlington, TX 76002-5715 | 2019-10-14 |
| 1710535398 | Ebelechukwu Ekwenugo | Nurse Practitioner | 616 Jagera Way, Arlington, TX 76002-4582 | 2019-08-28 |
| 1427514553 | Fast Behavorial Health Corporation | Nurse Practitioner | 1406 Anglican Dr, Arlington, TX 76002-3741 | 2019-02-13 |
| 1184129157 | Perfect Peace Health Consultants Pllc | Nurse Practitioner | 1401 Gilday Dr, Arlington, TX 76002-3734 | 2018-03-29 |
| 1952823130 | Lw Psychiatric Services Pllc | Nurse Practitioner | 22 Mill St Ste 207, Arlington, MA 02476-4738 | 2017-07-10 |
| Find all providers in ARLINGTON | ||||
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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.