Creative Space Child Therapy, Llc.

LBN: Creative Space Child Therapy, Llc.
Creative Space Child Therapy, Llc. is an health care organization with primary practice located at 5304 Cedar Dr , Cambridge MD 21613-4404. The organization recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as the primary health care specialty. Creative Space Child Therapy, Llc. can be contacted via phone (410) 929-7427, or through Gray, Latrice Kiane via phone (410) 929-7427.

Contact Information

Primary practice address
5304 Cedar Dr Cambridge MD 21613-4404
Phone: (410) 929-7427
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Gray, Latrice Kiane LCSW-C
Phone: (410) 929-7427

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 1041C0700X

Profile Details

NPI number 1255085056
LBN Legal business name Creative Space Child Therapy, Llc.
DBA Doing business as
Authorized official Gray, Latrice Kiane LCSW-C
Entity Organization
Organization subpart 1 No
Enumeration date Feb 10th, 2022
Last updated Feb 10th, 2022 - about 4 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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