# CREATIVE ENDINGS SOCIAL SERVICES, LLC

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

## Provider details

- **NPI number:** 1326580713
- **Authorized official:** MR. VERNON LEE THOMAS III JD (DIRECTOR OF BUSINESS DEVELOPMENT)
- **Authorized official phone:** (317) 622-4104

## Contact information

- **Practice address:** 4165 MILLERSVILLE RD, INDIANAPOLIS, IN 46205-2989
- **Practice address phone:** (317) 622-4104
- **Practice address fax:** (317) 737-2320
- **Mailing address:** 4165 MILLERSVILLE RD, INDIANAPOLIS, IN 46205-2989
- **Mailing address phone:** (317) 622-4104
- **Mailing address fax:** (317) 737-2320

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 251B00000X | Case Management Agency | — | IN | Yes |
| 251C00000X | Developmentally Disabled Services Day Training Agency | — | IN | — |
| 251S00000X | Community/Behavioral Health Agency | — | IN | — |
| 252Y00000X | Early Intervention Provider Agency | — | NULL | — |
| 343900000X | Non-emergency Medical Transport (VAN) | — | NULL | — |

## Other

- **Enumeration date:** 11/16/2016
- **Last updated:** 11/16/2016