Organization
CREATIVE MINDS HEALTHCARE PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KIMBERLY L DAVIS (CREDENTIALING SPECIALISTS)
(912) 373-4385
Entity
Organization
Contact information
Practice address
2829 ARLINGTON AVE, FAYETTEVILLE, NC 28303-5403
(910) 676-8019
Mailing address
3813 SHIRE ST, HOPE MILLS, NC 28348-2995
(910) 676-8019
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
—
—
101YA0400X
Addiction (Substance Use Disorder) Counselor
—
—
101YM0800X
Mental Health Counselor
—
—
101YP2500X
Professional Counselor
—
—
1041C0700X
Clinical Social Worker
—
—
251S00000X
Community/Behavioral Health Agency
Primary
—
—
Other
Enumeration date
06/10/2022
Last updated
06/24/2026
Update your record
If you believe information in your NPPES record is inaccurate, or if you wish to update or deactivate your NPI, you can do so directly with CMS at https://nppes.cms.hhs.gov.
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Sign up