Organization
CREATIVE HEALING THERAPY SOLUTIONS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. RACHEL M IRISH PHD (OWNER/CEO)
(951) 529-2772
Entity
Organization
Contact information
Practice address
1400 QUAIL ST STE 275, NEWPORT BEACH, CA 92660-2762
(657) 215-0465
(949) 209-1980
Mailing address
1400 QUAIL ST STE 275, NEWPORT BEACH, CA 92660-2762
(657) 215-0465
(949) 209-1980
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
—
—
251S00000X
Community/Behavioral Health Agency
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100211512
—
CA
Enumeration date
05/22/2020
Last updated
06/21/2022
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