CREATING BOUNDARIES, LLC (NPI# 1598370819) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1598370819 |
| Entity Type | Organization |
| Organization Name | CREATING BOUNDARIES, LLC |
| Practice Address |
200 E Main St Ste 208 Richmond KY 40475-1628 |
| Mailing Address |
Po Box 523 Richmond KY 40476-0523 |
| Practice Telephone | 4884881096 |
| Mailing Telephone | 8594881096 |
| Mailing Fax Number | 8599864975 |
| Enumeration Date | 2020-09-14 |
| Last Update Date | 2020-09-14 |
| Authorized Official Name | MR. DANIEL SULFRIDGE (OWNER/THERAPIST) |
| Authorized Official Telephone | 8594881096 |
| Authorized Official Credential | LPCC-S |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YM0800X |
Counselor Specialization: Mental Health |
Behavioral Health & Social Service Providers |
| Other Name | Type Code |
|---|---|
| Living Well Counseling Services | Doing Business As Name - Organization |
| Street Address |
200 E MAIN ST STE 208 |
| City | RICHMOND |
| State | KY |
| Zip Code | 40475-1628 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1922611300 | Christina Panter | Social Worker | 370 Highland Drive, Ste 1a, Richmond, KY 40475 | 2020-08-26 |
| 1952875387 | Visionary Therapy Center, LLC | Speech-Language Pathologist | 100 Ky Hwy 15 South, Suite 136, Jackson, KY 40475 | 2019-01-18 |
| 1639656911 | Brian Kettler | Physical Therapy Assistant | 2025 Corporate Dr Ste 2, Richmond, KY 40475 | 2018-07-19 |
| 1376063198 | Erin Danielle Burt | Developmental Therapist | 100 Eastern Hills Drive, Richmond, KY 40475 | 2017-06-22 |
| 1477088730 | Paul Henley Jr. | Student in an Organized Health Care Education/Training Program | 157 Shelby Court, Richmond, KY 40475 | 2017-04-25 |
| 1700310455 | Center for Behavioral Health Kentucky, Inc. | Clinic/Center | 1018 Ival Jame Bvld, Suite C, Richmond, KY 40475 | 2017-04-19 |
| 1790221000 | Darisha Jenkins | Counselor | 435 Gibson Lane, Richmond, KY 40475 | 2017-01-10 |
| 1992259402 | Kendra Gross | Counselor | 451 Big Hill Ave Ste 5, Richmond, KY 40475 | 2016-08-12 |
| 1386095032 | Shantila Nicole Wolford | Case Manager/Care Coordinator | 411 Gibson Lane, Richmond, KY 40475 | 2016-06-23 |
| 1154776540 | Jessica Conley | Social Worker | 105 Masters Court, Richmond, KY 40475 | 2016-05-04 |
| Find all providers in zip 40475 | ||||
| Taxonomy Code | 101YM0800X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Mental Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1679173603 | Tonya Lea Warman | Counselor | 1305 N 38th St, Richmond, VA 23223-7721 | 2020-10-28 |
| 1316545957 | Joy Monte Maples-parham | Counselor | 4020 Bolling Rd, Richmond, VA 23223-1149 | 2020-10-15 |
| 1720695273 | Sunnie Allen | Counselor | 498 Nw 18th St Bldg 417, Richmond, IN 47374-2851 | 2020-09-29 |
| 1285249839 | Megan Brown | Counselor | 611 Hampton Way Apt 2, Richmond, KY 40475-8234 | 2020-09-10 |
| 1851901359 | Hama Health Services, Inc | Counselor | 17027 Iver Ironwood Trl, Richmond, TX 77407-2169 | 2020-08-09 |
| 1750990297 | Takisha Nicole Moore | Counselor | 8602 Withers Ridge Dr, Richmond, TX 77407-2663 | 2020-07-30 |
| 1821613076 | Elite Caregiver LLC | Counselor | 18126 Sonora Brook Ln, Richmond, TX 77407-1808 | 2020-06-13 |
| 1487278933 | New Hope Services LLC | Counselor | 1301 Boulder Creek Rd, Richmond, VA 23225-4165 | 2020-06-01 |
| 1114540994 | Alexander Glenn-mcmahan Adler | Counselor | 1215 W Main St Ste A, Richmond, VA 23220-4811 | 2020-05-27 |
| 1477172864 | California Portsmouth Square Association | Counselor | 686 Humboldt St, Richmond, CA 94805-1959 | 2020-04-15 |
| Find all providers in RICHMOND | ||||
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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.