Organization
ELITE CREATIVE CARE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ALEXUS SHABAZZ LPC (OWNER)
(804) 651-4879
Entity
Organization
Contact information
Practice address
33 CHURCHVILLE RD, WEST POINT, VA 23181-3519
(407) 803-1144
(804) 557-9831
Mailing address
6500 W BANES CT, CHESTERFIELD, VA 23832-8249
(407) 803-1144
(804) 557-9831
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
—
Other
Enumeration date
04/15/2025
Last updated
01/14/2026
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