Organization
CREATIONZ BY PHOENIX LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. SHA'NAE LATISHA HAMMOND CNA (OWNER)
(859) 519-9336
Entity
Organization
Contact information
Practice address
2366 ALLEN DR STE B, LEXINGTON, KY 40505-1956
(859) 519-9336
Mailing address
212 N 2ND ST STE 100, RICHMOND, KY 40475-1408
(859) 519-9336
Taxonomy
Speciality
Code
Description
License number
State
133N00000X
Nutritionist
Primary
—
—
Other
Enumeration date
07/24/2026
Last updated
07/24/2026
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