Creative Life Skills Development is a
Clinic/center - Developmental Disabilities based in Surprise, Arizona. Creative Life Skills Development is licensed to practice in * (Not Available) (license number ) and their current practice location is
15508 W Bell Rd, Suite 101-261, Surprise, Arizona. It can be reached at their office (for appointments etc.) via phone at
(602) 441-5975.
NPI number for Creative Life Skills Development is 1184703670 and their current mailing address is 15508 W Bell Rd, Suite 101-261, Surprise, Arizona. Creative Life Skills Development
does not participate in medicare program and thus does not accept medicare assignments. The facility's NPI Number is 1184703670.
Healthcare Provider's Profile
| Full Name | Creative Life Skills Development |
|---|
| Type | Facility |
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| Speciality | Clinic/center - Developmental Disabilities |
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| Location | 15508 W Bell Rd, Surprise, Arizona |
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| Accepts Medicare Assignments | Does not participate in Medicare Program. The facility may not accept medicare assignment. |
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NPI Data:
- NPI Number: 1184703670
- Provider Enumeration Date: 11/03/2006
- Last Update Date: 09/07/2011
Medical Identifiers
Medical identifiers for Creative Life Skills Development such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1184703670 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 2251P0200X | Physical Therapist - Pediatrics | (* (Not Available)) | Secondary |
| 225XP0200X | Occupational Therapist - Pediatrics | (* (Not Available)) | Secondary |
| 235Z00000X | Speech-language Pathologist | (* (Not Available)) | Secondary |
| 261QD1600X | Clinic/center - Developmental Disabilities | (* (Not Available)) | Primary |
| 320600000X | Residential Treatment Facility, Intellectual And/or Developmental Disabilities | 2762 (Arizona) | Secondary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Creative Life Skills Development is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
|---|
Creative Life Skills Development
15508 W Bell Rd, Suite 101-261,
Surprise, AZ 85374-2432
Ph: (602) 441-5975 | Creative Life Skills Development
15508 W Bell Rd, Suite 101-261,
Surprise, AZ 85374-2432
Ph: (602) 441-5975 |
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