Organization
CREO THERAPY STUDIO LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ARIELLE ROTHENBERG LMHC, LPAT (OWNER)
(650) 380-9547
Entity
Organization
Contact information
Practice address
5 JUNIPER ROAD, QUESTA, NM 87556-0000
(650) 380-9547
Mailing address
5 JUNIPER ROAD, QUESTA, NM 87556-0000
(650) 380-9547
Taxonomy
Speciality
Code
Description
License number
State
221700000X
Art Therapist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
CTB-2024-0333
CTB-2024-0333
NM
05
—
N0017326
—
NM
Enumeration date
12/23/2024
Last updated
06/15/2025
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