CREATIVE LIVING ASSOCIATES (NPI# 1043377278) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1043377278 |
| Entity Type | Organization |
| Organization Name | CREATIVE LIVING ASSOCIATES |
| Practice Address |
101 Vance Ave Kannapolis NC 28081-4339 |
| Mailing Address |
1001 E Wt Harris Blvd Suite P-317 Charlotte NC 28213-4104 |
| Practice Telephone | 7047889184 |
| Enumeration Date | 2007-01-03 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | DR. GLEN REDIEHS (SENIOR ASSOCIATE) |
| Authorized Official Telephone | 7047889184 |
| Authorized Official Credential | PH.D. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| X | 101YP2500X |
Counselor Specialization: Professional |
2296 | NC | Behavioral Health & Social Service Providers |
| X | 106H00000X | Marriage & Family Therapist | 526 | NC | Behavioral Health & Social Service Providers |
| Street Address |
101 VANCE AVE |
| City | KANNAPOLIS |
| State | NC |
| Zip Code | 28081-4339 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1023678315 | Cabarrus Al Holdings, LLC | Non-emergency Medical Transport (VAN) | 4968 Milestone Ave, Kannapolis, NC 28081 | 2019-06-18 |
| 1245755222 | Jennifer Ann Drisker | Social Worker | 119 West Avenue, Kannapolis, NC 28081 | 2017-08-10 |
| 1720539059 | Bonnie Knox | Non-emergency Medical Transport (VAN) | 902 South Main St, Kannapolis, NC 28081 | 2016-10-21 |
| 1659643880 | Jonathan Redmond | Occupational Therapy Assistant | 7555 Tuckaseegee Rd, Kannapolis, NC 28081 | 2012-02-03 |
| 1245465145 | Margot C Dragon | Acupuncturist | 7560 Crestwood Drive, Kannapolis, NC 28081 | 2009-05-20 |
| 1154542124 | Robert Lee Dayvault Jr. | Pharmacist | 1113 N. Main St., Kannapolis, NC 28081 | 2007-05-01 |
| 1265573745 | Cardinal Innovations Healthcare Solutions | Community/Behavioral Health | 4855 Milestone Avenue, Kannapolis, NC 28081 | 2007-02-09 |
| 1245331016 | Eckerd Corporation | Durable Medical Equipment & Medical Supplies | 135 Dale Earnhardt Boulevard, Kannapolis, NC 28081 | 2006-09-26 |
| 1003844887 | Randal G Troutman | Chiropractor | 1715 S. Main Street, Kannapolis, NC 28081 | 2006-06-29 |
| 1457332728 | James M Bowman | Pharmacist | 1113 N Main St, Kannapolis, NC 28081 | 2005-11-14 |
| Find all providers in zip 28081 | ||||
| Taxonomy Code | 101YP2500X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Professional |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154943579 | Sycamore Counseling Center Pllc | Counselor | 5405 Randolph Rd, Kannapolis, NC 28081-8703 | 2020-05-07 |
| 1174970438 | Jenna Little | Counselor | 4797 Mooresville Rd, Kannapolis, NC 28081-9053 | 2016-05-17 |
| 1184007908 | Rachel Reed Hinson | Counselor | 109 S Enochville Ave, Kannapolis, NC 28081-9002 | 2015-06-30 |
| 1184022055 | Kelly Ryan Pearce | Counselor | 502 Peace Haven Rd, Kannapolis, NC 28083-6957 | 2014-12-09 |
| 1831489210 | Shanise Blackmon Davis | Counselor | 339 Esther Cir, Kannapolis, NC 28083-9026 | 2011-04-19 |
| 1467787945 | Shema Philistines Carter | Counselor | 149 Fairmont Cir, Kannapolis, NC 28083-7819 | 2009-10-16 |
| 1477712016 | Sue K Gelarden | Counselor | 1664 Heather Glen Rd, Kannapolis, NC 28081-9433 | 2008-06-09 |
| 1366612020 | Ann Busser Driver | Counselor | 313 W 13th St, Kannapolis, NC 28081-2207 | 2008-03-08 |
| 1558541516 | Gabrielle Adelle Rosenthal-ayres | Counselor | 1309 S. Cannon Blvd, Kannapolis, NC 28083-6232 | 2007-11-07 |
| 1427175959 | Robert Ronder Phillips | Counselor | 2125 Glenwood St, Kannapolis, NC 28083-3042 | 2007-03-22 |
| Find all providers in KANNAPOLIS | ||||
| City | KANNAPOLIS |
| Zip Code | 28081 |
Please comment or provide details below to improve the information on CREATIVE LIVING ASSOCIATES.
| 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.