# CREATIVE PATH THERAPY PLLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1295684660
- **Authorized official:** MRS. NOEL D'AVY LPC (OWNER, CLINICAL SUPERVISOR)
- **Authorized official phone:** (480) 331-3433

## Contact information

- **Practice address:** 2345 S ALMA SCHOOL RD STE 209, MESA, AZ 85210-4014
- **Practice address phone:** (480) 331-3433
- **Mailing address:** 2345 S ALMA SCHOOL RD STE 209, MESA, AZ 85210-4014
- **Mailing address phone:** (480) 331-3433

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 101YA0400X | Addiction (Substance Use Disorder) Counselor | — | NULL | — |
| 101YA0400X | Addiction (Substance Use Disorder) Counselor | — | — | — |
| 101YM0800X | Mental Health Counselor | — | NULL | Yes |
| 101YM0800X | Mental Health Counselor | — | — | Yes |

## Other

- **Enumeration date:** 01/27/2026
- **Last updated:** 01/27/2026