Organization
CREATIVE THERAPY ASSOCIATES, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CHRISTINE TUZZO HARRIS MSW, LCSW (OWNER/PRESIDENT)
(407) 376-9277
Entity
Organization
Contact information
Practice address
600 S MAIN AVE, MINNEOLA, FL 34715-9578
(407) 399-8855
(321) 248-0120
Mailing address
1138 EVEREST STREET, CLERMONT, FL 34711
(407) 376-9277
(321) 248-0120
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
MH7529
FL
1041C0700X
Clinical Social Worker
Primary
SW5509
FL
251S00000X
Community/Behavioral Health Agency
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
000341400
—
FL
05
—
762109400
—
FL
05
—
768765600
—
FL
Enumeration date
08/04/2008
Last updated
04/19/2023
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