Organization
KREATIVE MILESTONES BEHAVIORAL HEALTHCARE SERVICES, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. TINA LOUISE WASHINGTON (OWNER/CEO)
(757) 344-0536
Entity
Organization
Contact information
Practice address
712 MOBJACK PLACE, SUITE A, NEWPORT NEWS, VA 23606-1981
(757) 504-2349
(757) 782-2861
Mailing address
712 MOBJACK PLACE, SUITE A, NEWPORT NEWS, VA 23606-1981
(757) 504-2349
(757) 782-2861
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
VA
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3001508743
—
VA
05
—
601260524
—
VA
Enumeration date
06/19/2013
Last updated
05/15/2025
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