CENTER FOR CREATIVE LIFE SOLUTIONS, LLC (NPI# 1629584321) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1629584321 |
| Entity Type | Organization |
| Organization Name | CENTER FOR CREATIVE LIFE SOLUTIONS, LLC |
| Practice Address |
495 Centre St Middleboro MA 02346-2050 |
| Practice Telephone | 5082036908 |
| Practice Fax Number | 5087961468 |
| Mailing Telephone | 5087899168 |
| Mailing Fax Number | 5087961468 |
| Enumeration Date | 2017-12-18 |
| Last Update Date | 2017-12-18 |
| Authorized Official Name | JENNIFER LEE LAURENZA (OWNER) |
| Authorized Official Telephone | 5087899168 |
| Authorized Official Credential | LMHC, LMFT |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 1041C0700X |
Social Worker Specialization: Clinical |
Behavioral Health & Social Service Providers | ||
| Y | 101YP2500X |
Counselor Specialization: Professional |
Behavioral Health & Social Service Providers |
| Street Address |
495 CENTRE ST |
| City | MIDDLEBORO |
| State | MA |
| Zip Code | 02346-2050 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1669990271 | Lois Monteiro | Acupuncturist | 217 Center St, Middleboro, MA 02346 | 2017-09-03 |
| 1588187298 | Danielle Marie Sousa | Acupuncturist | 2 Rocky Gutter St., Middleboro, MA 02346 | 2017-07-25 |
| 1114309234 | South Bay Mental Health | Community/Behavioral Health | 38 Atwood Avenue, Middleboro, MA 02346 | 2015-06-25 |
| 1194110726 | Orthodontic Specialists of Southeastern Ma | Clinic/Center | 47 Bedford Street, Unit 4, Middleboro, MA 02346 | 2015-03-31 |
| 1578858973 | Alireza Ashrafi | Dentist | 47 Bedford St, Middleboro, MA 02346 | 2011-06-14 |
| 1649503657 | Michael Ryan Correia | Pharmacist | 131-133 Main St, Middleboro, MA 02346 | 2009-09-09 |
| 1750544896 | M Teresa Wandrey | Speech-Language Pathologist | 105 East Grove Street, Middleboro, MA 02346 | 2008-07-09 |
| 1134261464 | Sarah Elizabeth Derosier | Podiatrist | 339 Center Street, Suite 27, Middleboro, MA 02346 | 2007-02-13 |
| 1669549689 | Kate B Dupre | Nurse Practitioner | 17 West End Ave, Middleboro, MA 02346 | 2006-11-29 |
| 1346313913 | Peter Tait Messier | Dentist | 259 Center St, Middleboro, MA 02346 | 2006-11-15 |
| Find all providers in zip 02346 | ||||
| Taxonomy Code | 101YP2500X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Professional |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1518519248 | Carmichah Jean | Counselor | 52 Oak St, Middleboro, MA 02346-2078 | 2019-07-12 |
| 1396161741 | David Richardson | Counselor | 94 S Main St, Middleboro, MA 02346-2123 | 2014-03-10 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1629678222 | Elaine Walker | Counselor | 608 Highland Ave, Malden, MA 02148-2426 | 2020-11-01 |
| 1033719364 | Larry Quemere | Counselor | 18 Columbia Rd, Pembroke, MA 02359-1895 | 2020-10-27 |
| 1275147506 | Tamara Nixon | Counselor | 98 Pebble Ln, N Falmouth, MA 02556-2123 | 2020-09-03 |
| 1972114411 | Doris Osiimwe Johnson | Counselor | 52 Elaine Cir # 52, Springfield, MA 01109-1205 | 2020-08-10 |
| 1538789649 | Catherine G. Mueller-bell | Counselor | 525 Mattakeesett St, Pembroke, MA 02359-2918 | 2020-04-18 |
| 1962032144 | Samantha Kassandra Deveau | Counselor | 5110 Washington St Apt 6, West Roxbury, MA 02132-5212 | 2020-01-16 |
| 1982247318 | Taryn Reynolds | Counselor | 463 Worcester Rd Ste 406, Framingham, MA 01701-5354 | 2019-10-17 |
| 1952943284 | Sagamore Counseling | Counselor | 345 Old Plymouth Rd, Sagamore Beach, MA 02562-2304 | 2019-10-08 |
| 1366008617 | Couples Therapy Inc. | Counselor | 204 Arsenal St, Watertown, MA 02472-2781 | 2019-05-13 |
| 1457916264 | Heather E Revill | Counselor | 98 Fair Dr, Somerset, MA 02726-5926 | 2019-05-07 |
| Find all providers with the same taxonomy | ||||
| City | MIDDLEBORO |
| Zip Code | 02346 |
Please comment or provide details below to improve the information on CENTER FOR CREATIVE LIFE SOLUTIONS, LLC.
| 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.