Organization · Type 2 NPI

Creative Life Support Services LLC

Psychiatric/Mental Health Nurse Practitioner · Columbus, OH

NPI number 1649005000 Active

Practice location

464 E Main St Ste D
Columbus, OH 43215-5448

Fax (833) 388-4255

Specialties and licenses

TaxonomyCodeLicense
Case Management Agency 251B00000XNone listed
Community/Behavioral Health Agency 251S00000XNone listed
Mental Health Clinic/Center (Including Community Mental Health Center) 261QM0801XNone listed
Private Vehicle 347C00000XNone listed
Transportation Broker 347E00000XNone listed
Psychiatric/Mental Health Nurse Practitioner Primary 363LP0808XNone listed
Respite Care 385H00000XNone listed
Child Mental Illness Respite Care 385HR2055XNone listed

Psychiatric/Mental Health Nurse Practitioner: Definition to come...

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About NPI 1649005000

Creative Life Support Services LLC's National Provider Identifier is 1649005000, issued on Sep 5, 2024. The primary taxonomy on file is Psychiatric/Mental Health Nurse Practitioner (363LP0808X), and the practice location is in Columbus, OH. The record was last updated on May 11, 2026.