Creative Potential LLC
Counselor in Uncasville, Connecticut
1679239826- Practice location
- 912 Norwich New London Tpke Ste 5, Uncasville, CT 06382-1908
- Phone
- 860-848-0514
- Fax
- 860-848-0523
- Last updated
- November 11, 2021
Creative Potential LLC is a healthcare organization based in Uncasville, CT. Creative Potential LLC practices in Uncasville, CT. The NPI Number for Creative Potential LLC is 1679239826. The current practice location address for Creative Potential LLC is 912 Norwich New London Tpke Ste 5, Uncasville, CT 06382-1908 and can be reached out via phone at 860-848-0514 and via fax at 860-848-0523.
Provider Profile Details
- NPI Number
- 1679239826
- Provider Name
- Creative Potential LLC
- Provider Entity Type
- Organization
- Address
- 912 Norwich New London Tpke Ste 5, Uncasville, CT 06382-1908
- Phone Number
- 860-848-0514
- Fax Number
- 860-848-0523
- Primary Taxonomy
- Counselor · 101Y00000X
- Organization Subpart
- No
- Authorized Official
- Sierra R Davis, MS · Owner · 860-848-0514
- Other Names
- Creative Potential (Doing Business As)
- Provider Enumeration Date
- November 11, 2021
- Last Update Date
- November 11, 2021
- Certification Date
- November 11, 2021
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 912 Norwich New London Tpke Ste 5
Uncasville, CT 06382-1908 - City
- Uncasville
- State
- Connecticut
- Zip
- 06382-1908
- Phone Number
- 860-848-0514
- Fax Number
- 860-848-0523
Provider Business Mailing Address Details
- Address
- 912 Norwich New London Tpke Ste 5
Uncasville, CT 06382-1908 - City
- Uncasville
- State
- CT
- Zip
- 06382-1908
- Phone Number
- 860-848-0514
- Fax Number
- 860-848-0523
License Information
- Taxonomy (1)
- Case Management · 251B00000X
- Taxonomy (2)
- Community/Behavioral Health · 251S00000X
- Taxonomy (3)
- In Home Supportive Care · 253Z00000X
- Taxonomy (4)
- Clinic/Center, Mental Health (Including Community Mental Health Center) · 261QM0801X
- Taxonomy (5)
- Respite Care, Respite Care, Physical Disabilities, Child · 385HR2065X
- Taxonomy (6)
- Counselor · 101Y00000X · Primary
Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider. | |||
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Frequently Asked Questions
What is the NPI number of Creative Potential LLC?
The NPI number of Creative Potential LLC is 1679239826. It was assigned on November 11, 2021 and is currently active in the NPPES registry.
What is the specialty of Creative Potential LLC?
Creative Potential LLC is registered under the primary taxonomy Counselor (code 101Y00000X).
Where does Creative Potential LLC practice?
The practice location is 912 Norwich New London Tpke Ste 5, Uncasville, CT 06382-1908. The office can be reached at 860-848-0514 (phone) or 860-848-0523 (fax).
What is an NPI number?
A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.
How do I verify this NPI record?
This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1679239826 directly on the NPPES registry website.