Lookup NPI Numbers from the NPI Registry
NPI Profile for CREATOR DESTINY LLC in KENNER, LA.
Specialty |
Taxonomy Code | Specialty Code | Provider Type | |
Professional |
101YP2500X | |||
Community/Behavioral Health |
251S00000X | |||
Mental Health |
101YM0800X | |||
Preferred Provider Organization |
305R00000X |
| NPI # | 1669861043 |
|
| Status | Active | |
| Credentials | ||
| Entity | Individual | |
| Enumeration date | 01/22/2015 | |
| Last updated | 03/09/2015 - About 11 years ago | |
| Sole proprietor 1 | Not specified | |
| Identifiers |
|
|
| Hospital affiliation(s) | Not Available |
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CREATOR DESTINY LLC
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CREATOR DESTINY LLC