Organization
CREATIVE LIFE SUPPORT SERVICES LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
STEVEN MAYES (OWNER)
(161) 435-3615
Entity
Organization
Contact information
Practice address
464 E MAIN ST STE D, COLUMBUS, OH 43215-5448
(614) 353-6159
(833) 388-4255
Mailing address
464 E MAIN ST STE D, COLUMBUS, OH 43215-5448
(614) 353-6159
Taxonomy
Speciality
Code
Description
License number
State
251B00000X
Case Management Agency
—
—
251S00000X
Community/Behavioral Health Agency
—
—
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
—
—
347C00000X
Private Vehicle
—
—
347E00000X
Transportation Broker
—
—
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
—
—
385H00000X
Respite Care
—
—
385HR2055X
Child Mental Illness Respite Care
—
—
Other
Enumeration date
09/05/2024
Last updated
05/11/2026
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