Creative Care Wellness LLC
Clinic/Center, Rehabilitation, Substance Use Disorder in Desoto, TX. Organization (NPI-2).
NPI number1609746486
StatusActive
Last updated in NPPESNov 7, 2025
Details
- NPI
- 1609746486
- Entity type
- Organization (NPI-2)
- Legal business name
- Creative Care Wellness LLC
- Organization subpart
- No
- Enumeration date
- Nov 7, 2025
- Certification date
- Nov 7, 2025
- Last updated
- Nov 7, 2025
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 261QR0405X | Clinic/Center, Rehabilitation, Substance Use Disorder | – | – | Yes |
| 251E00000X | Home Health | – | – | |
| 261QM0801X | Clinic/Center, Mental Health (Including Community Mental Health Center) | – | – |
Practice location
920 Macaw WayDesoto, TX 75115-7208
Phone 773-606-6594
Mailing address
920 Macaw WayDesoto, TX 75115-7208
Phone 773-606-6594
Authorized official
Jada Washington
Rn
7736066594
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