Organization
CREATIVE MENTAL HEALTH INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MICHELLE CHAISSON MS (EXECUTIVE DIRECTOR)
(407) 720-6265
Entity
Organization
Contact information
Practice address
3700 34TH ST STE 100, ORLANDO, FL 32805-6601
(407) 720-6265
Mailing address
3700 34TH ST STE 100, ORLANDO, FL 32805-6601
(407) 720-6265
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
—
—
251B00000X
Case Management Agency
—
FL
251S00000X
Community/Behavioral Health Agency
Primary
—
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0909
UFL-0909
FL
Enumeration date
12/22/2014
Last updated
10/26/2016
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