Crisara Creative Therapy, Llc in Elk Grove - Professional
Crisara Creative Therapy, Llc - NPI 1992724934
Crisara Creative Therapy, Llc is a Professional in Elk Grove, California. Crisara Creative Therapy, Llc practices all healthcare services and medical treatments related to Professional. The NPI Number for Crisara Creative Therapy, Llc is 1992724934. The last update date is 2008-02-27.
Crisara Creative Therapy, Llc's current location address is Po Box 581748, Elk Grove, California. You can contact this provider via phone number 9164228862 and fax number 9164222050. The mailing address for Crisara Creative Therapy, Llc is Po Box 581748, Elk Grove, California. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Crisara Creative Therapy, Llc |
|---|---|
| Address | Po Box 581748, Elk Grove, California |
| Phone Number | 9164228862 |
| Fax Number | 9164222050 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | CEO/DIRECT |
|---|---|
| Authorized Official Name | Williams Jean Ava |
| Credentials | MS, BCPC |
| Telephone Number | 9164228862 |
NPI Number Detail
| NPI Number | 1992724934 |
|---|---|
| Provider Enumeration Date | 2006-07-19 |
| Last Updated Date | 2008-02-27 |
Provider Mailing Address Detail
| Address | Po Box 581748 |
|---|---|
| City | Elk Grove |
| State | California (CA) |
| Post Code | 957580030 |
| Phone Number | 9164228862 |
| Fax Number | 9164222050 |
Provider's Primary Taxonomy Detail
| Speciality | Professional |
|---|---|
| Taxonomy | 101Yp2500X |
|
Definition: A general counselor who helps people with personal, social, educational, and career issues. |
|
Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| V797P-7015A | CA | FEDERAL GSA/FSS | |
| 31474 | CA | DEPT OF TRANSPORTATION | |
| ZZZ67877Z | CA | BLUE SHIELD/BLUE CROSS | |
| 6DN00022 | CA | CPUC |
Post Comment/ Review Below
What is the Crisara Creative Therapy, Llc's 1992724934?
The Crisara Creative Therapy, Llc's NPI (National Provider Identifier) Number is 1992724934. This unique 10-digit identification number is assigned to health care providers by the Centers for Medicare & Medicaid Services (CMS).
Could you please provide the complete street address where Crisara Creative Therapy, Llc is physically located?
The Crisara Creative Therapy, Llc is physically situated at the following address: Po Box 581748, Elk Grove, CA, 957580030.
What is Crisara Creative Therapy, Llc's specialized area of practice, and what is the corresponding taxonomy classification code for this field?
The Crisara Creative Therapy, Llc's specialized field of practice is Professional, and the corresponding taxonomy code that categorizes this area of specialization is 101Yp2500X.
On what date did the Centers for Medicare & Medicaid Services assign the 1992724934 to Crisara Creative Therapy, Llc?
The Centers for Medicare & Medicaid Services assigned the 1992724934 to Crisara Creative Therapy, Llc on 2006-07-19.
As of what date were the details related to Crisara Creative Therapy, Llc most recently updated or revised?
The information pertaining to Crisara Creative Therapy, Llc, including its address, specialty, and other relevant details, was last updated or revised on 2008-02-27.
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