CREATIVE LIFE STRATEGIES, LLC (NPI# 1205475878) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1205475878 |
Entity Type | Organization |
Organization Name | CREATIVE LIFE STRATEGIES, LLC |
Practice Address |
625 Route 9 Beachwood NJ 08722-4007 |
Mailing Address |
Po Box 110 Bayville NJ 08721-0110 |
Practice Telephone | 7325806619 |
Practice Fax Number | 7322287335 |
Mailing Telephone | 7325806619 |
Mailing Fax Number | 7322287335 |
Enumeration Date | 2019-12-31 |
Last Update Date | 2019-12-31 |
Authorized Official Name | CHRISTINE LEOTTA-SELBY (LICENSED PROFESSIONAL COUNSELOR) |
Authorized Official Telephone | 7325806619 |
Authorized Official Credential | LPC,LCADC |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
N | 101YA0400X |
Counselor Specialization: Addiction (Substance Use Disorder) |
Behavioral Health & Social Service Providers | ||
N | 101YM0800X |
Counselor Specialization: Mental Health |
Behavioral Health & Social Service Providers | ||
N | 101YS0200X |
Counselor Specialization: School |
Behavioral Health & Social Service Providers | ||
Y | 101YP2500X |
Counselor Specialization: Professional |
Behavioral Health & Social Service Providers |
Other Name | Type Code |
---|---|
Christine Leotta | Other Name - Individual/Organization |
Entity Type | Entity Name | Entity Address |
---|---|---|
Colorado Business Entities | Creative Life Strategies, LLC | 75 Manhattan Drive, Suite 206, Boulder, CO 80303 |
Street Address |
625 ROUTE 9 |
City | BEACHWOOD |
State | NJ |
Zip Code | 08722-4007 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1265660955 | Christine Leotta-selby | Counselor | 625 Route 9, Beachwood, NJ 08722-4007 | 2009-07-01 |
1306255088 | Sarah Tuzeneu | Social Worker | 625 Route 9, Beachwood, NJ 08722-4007 | 2014-08-07 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1639245640 | Pedorthic Concepts Inc | Orthotist | 145 Atlantic City Blvd, Beachwood, NJ 08722 | 2006-11-28 |
1023190287 | Thomas Gray | Chiropractor | 683 Bay Ave, Toms River, NJ 08722 | 2006-10-19 |
1568832046 | Community Options, Inc | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 835 Forecastle Ave, Beachwood, NJ 08722-2407 | 2015-09-28 |
1295958395 | Kimberly Ann Veith | Social Worker | 645 Beachwood Blvd, Beachwood, NJ 08722-2505 | 2007-04-10 |
1427507607 | Patti Herrmann | Dietitian, Registered | 401 Halliard Ave, Beachwood, NJ 08722-2619 | 2016-09-28 |
1942603766 | Sara Petersen | Speech-Language Pathologist | 513 Leeward Ave, Beachwood, NJ 08722-2625 | 2014-10-07 |
1336519149 | New Jersey Cvs Pharmacy LLC | Durable Medical Equipment & Medical Supplies | 300 Atlantic City Blvd, Beachwood, NJ 08722-2800 | 2015-10-06 |
1801146576 | Christine Poane | Social Worker | 111 Admiral Ave, Beachwood, NJ 08722-2803 | 2012-09-11 |
1790229540 | Poane Counseling Services, LLC. | Community/Behavioral Health | 111 Admiral Ave, Beachwood, NJ 08722-2803 | 2016-12-13 |
1811367022 | Austin Port | Dentist | 15 Brigantine St, Beachwood, NJ 08722-2900 | 2015-09-30 |
Find all providers in zip 08722 |
Taxonomy Code | 101YP2500X |
Grouping | Behavioral Health & Social Service Providers |
Classification | Counselor |
Specialization | Professional |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1366075327 | Danielle Sharice Wilson | Counselor | 21400 Chagrin Blvd, Beachwood, OH 44122-5308 | 2020-02-18 |
1124565924 | Caitlin Marie Urdiales | Counselor | 3401 Enterprise Pkwy Ste 250, Beachwood, OH 44122-7343 | 2017-01-31 |
1568815462 | Lauren M Corsillo | Counselor | 2000 Aurburn Drive, Beachwood, OH 44122 | 2016-07-15 |
1992172290 | Noelle Chappelle Zamudio | Counselor | 24100 Chagrin Blvd Ste 370, Beachwood, OH 44122-5535 | 2015-08-21 |
1790181832 | Natalie Boyle | Counselor | 417 Barnegat Blvd, Beachwood, NJ 08722-4101 | 2014-11-18 |
1538430103 | Angelia Monet Worley | Counselor | 24100 Chagrin Blvd Ste 125, Beachwood, OH 44122 | 2012-01-13 |
1538439260 | Tara Nicole Haas | Counselor | 3681 Green Rd Ste 404, Beachwood, OH 44122-5716 | 2012-01-11 |
1366712408 | Amy Deeds | Counselor | 24100 Chagrin Boulevard, Suite 400, Beachwood, OH 44122 | 2012-01-06 |
1538280433 | Rose Marie Fantelli | Counselor | 23875 Commerce Park Ste 130, Beachwood, OH 44122-5805 | 2007-04-02 |
1477630044 | Heather Michelle Wendling | Counselor | 23210 Chagrin Blvd Suite 400, North East Ohio Health Services, Beachwood, OH 44122-5429 | 2006-11-01 |
Find all providers in BEACHWOOD |
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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.