Organization
CREATIVE CONSCIOUSNESS HEALTH AND WELLNESS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MATTIE GAFFNEY (CEO)
(602) 706-2380
Entity
Organization
Contact information
Practice address
1616 E INDIAN SCHOOL RD STE 255, PHOENIX, AZ 85016-8614
(602) 706-2380
Mailing address
1616 E INDIAN SCHOOL RD STE 255, PHOENIX, AZ 85016-8614
Taxonomy
Speciality
Code
Description
License number
State
177F00000X
Lodging Provider
—
—
251B00000X
Case Management Agency
—
—
251S00000X
Community/Behavioral Health Agency
Primary
—
—
261QR0800X
Recovery Care Clinic/Center
—
—
385H00000X
Respite Care
—
—
Other
Enumeration date
10/06/2025
Last updated
10/06/2025
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