# CREATIVE LIFE SUPPORT SERVICES LLC

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

## Provider details

- **NPI number:** 1649005000
- **Authorized official:** STEVEN MAYES (OWNER)
- **Authorized official phone:** (161) 435-3615

## Contact information

- **Practice address:** 464 E MAIN ST STE D, COLUMBUS, OH 43215-5448
- **Practice address phone:** (614) 353-6159
- **Practice address fax:** (833) 388-4255
- **Mailing address:** 464 E MAIN ST STE D, COLUMBUS, OH 43215-5448
- **Mailing address phone:** (614) 353-6159

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 251B00000X | Case Management Agency | — | NULL | — |
| 251S00000X | Community/Behavioral Health Agency | — | NULL | — |
| 261QM0801X | Mental Health Clinic/Center (Including Community Mental Health Center) | — | NULL | — |
| 347C00000X | Private Vehicle | — | NULL | — |
| 347E00000X | Transportation Broker | — | NULL | — |
| 363LP0808X | Psychiatric/Mental Health Nurse Practitioner | — | NULL | Yes |
| 363LP0808X | Psychiatric/Mental Health Nurse Practitioner | — | — | Yes |
| 385H00000X | Respite Care | — | NULL | — |
| 385HR2055X | Child Mental Illness Respite Care | — | NULL | — |

## Other

- **Enumeration date:** 09/05/2024
- **Last updated:** 05/11/2026