| Creatively, Llc | |
|
5570 Sterrett Pl Ste 100 Columbia MD 21044-2641 | |
| (443) 741-2294 | |
| Not Available |
| Full Name | Creatively, Llc |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 5570 Sterrett Pl, Columbia, Maryland |
| Authorized Official Name and Position | Cynthia Cisneros (SOLE PROPRIETOR) |
| Authorized Official Contact | 4437412294 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Creatively, Llc 9379 Rustling Leaf Columbia MD 21045-5212 Ph: () - | Creatively, Llc 5570 Sterrett Pl Ste 100 Columbia MD 21044-2641 Ph: (443) 741-2294 |
| NPI Number | 1245779685 |
|---|---|
| Provider Enumeration Date | 02/17/2017 |
| Last Update Date | 02/17/2017 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1245779685 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | LC4473 (Maryland) | Primary |
| 251S00000X | Community/behavioral Health | 701006308 (Virginia) | Secondary |
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