CREATIVE MIND THERAPY – NPI #1497518245
Substance Abuse Rehabilitation Facility

A facility or distinct part of a facility that provides a 24 hr therapeutically planned living and rehabilitative intervention environment for the treatment of individuals with disorders in the abuse of drugs, alcohol, and other substances.

CREATIVE MIND THERAPY is a substance abuse rehabilitation facility located in TAOS, NM. NPPES has assigned the NPI number 1497518245 to CREATIVE MIND THERAPY on February 05, 2024. It is a Type-2 NPI, indicating this NPI number is associated with an organization. The primary taxonomy selected by this provider is 324500000X from the Health Care Provider Taxonomy code set, which is classified as Substance Abuse Rehabilitation Facility.

The NPI profile was previously updated about 2 years ago on Jun 06, 2024. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for CREATIVE MIND THERAPY below.

NPI Profile for
CREATIVE MIND THERAPY

NPI Number
1497518245
Enumeration Date

(more than 2 years ago)
Entity Type
Type-2  Organization
Organization health care providers may have a single employee or thousands of employees. An example is an incorporated individual who is an organization's only employee.
Legal Name
CREATIVE MIND THERAPY
Primary location
522 PASEO DEL PUEBLO NORTE
TAOS, NM 87571-5999
Phone: (630) 561-5826 Fax:
Mailing address
3401 W REDFIELD RD
PHOENIX, AZ 85053-5642
Phone: (630) 561-5826 Fax:
Organization Subpart
No
Authorized Official
JAMES COUGHLIN
OWNER
Phone: (630) 561-5826
Updated
Certification Date
Jun 06, 2024

Note: NPPES allows providers to attest to the accuracy of their NPI data. When a provider request any change to the NPI record, they will be able to attest to their changed NPI data, resulting in an updated certification date.

Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
324500000X
- Substance Abuse Rehabilitation Facility (Primary)

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.