Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days.
Organization
CREATIVE CHANGE, INC.
Active
Organization
CREATIVE CHANGE, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. TED ROBERT PEARSON M.A., LMHC (PRESIDENT)
(352) 597-0969
Entity
Organization
Contact information
Practice address
5331 COMMERCIAL WAY STE 212, SPRING HILL, FL 34606-1426
(352) 597-0969
(352) 597-6853
Mailing address
5331 COMMERCIAL WAY STE 212, SPRING HILL, FL 34606-1426
(352) 597-0969
(352) 597-6853
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
MH2746
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
11915921
CAQH
FL
Enumeration date
01/28/2009
Last updated
01/28/2009
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Sign up