CREATIVE LIFE SKILLS DEVELOPMENT
NPI 1184703670
Clinic/Center - Developmental Disabilities in Surprise, AZ

Active since November 03, 2006
15508 W BELL RD, SUITE 101-261, SURPRISE, AZ 85374(602) 441-5975(602) 485-8859 Get Directions Write a Review

NPPES record last updated: September 7, 2011. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Creative Life Skills Development NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

CREATIVE LIFE SKILLS DEVELOPMENT (NPI 1184703670) is a healthcare organization registered as a developmental disabilities in Surprise, Arizona and active in the NPI registry since November 2006. The organization lists Lisa Lyn Herrmann, Owner, as its authorized official.

NPPES Registry Identity

NPI1184703670
Entity TypeOrganization
Primary Taxonomy261QD1600X
Legal Business NameCREATIVE LIFE SKILLS DEVELOPMENT
Location Address15508 W BELL RD, SUITE 101-261Surprise, AZ 85374-2432
Mailing Address15508 W Bell Rd, Suite 101-261Surprise, AZ 85374-2432 · (602) 441-5975 · Fax (602) 485-8859
Fax(602) 485-8859
Organization SubpartNo
Authorized OfficialLisa Lyn HerrmannOwner · (602) 441-5975
Enumeration DateNovember 3, 2006
Last NPPES UpdateSeptember 7, 2011
NPI 1184703670 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 5

Primary SpecialtyClinic/Center · Developmental DisabilitiesAmbulatory Health Care Facilities
Taxonomy Code261QD1600X
Definition
An entity, facility, or distinct part of a facility providing comprehensive, multidiscipline diagnostic, treatment, therapy, training, and counseling services to children with congenital disorders that precipitate developmental delays and in many instances mental deficiencies (e.g., Cerebral Palsy, metabolic disorders, Sturge-Weber Syndrome, etc.).
Also ListedPhysical Therapist · PediatricsTaxonomy 2251P0200X
Also ListedOccupational Therapist · PediatricsTaxonomy 225XP0200X
Also ListedSpeech-Language PathologistTaxonomy 235Z00000X
Also ListedResidential Treatment Facility, Intellectual and/or Developmental DisabilitiesTaxonomy 320600000X · License 2762 (AZ)
15508 W BELL RD, Surprise, AZ 85374

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Other Providers at the Same Location NPPES 7

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Dental Hygienist
15508 W BELL RD, 101-525
SURPRISE, AZ 85374
Chiropractor
15508 W BELL RD, SUITE 105
SURPRISE, AZ 85374
Dentist (General Practice)
15508 W BELL RD, SUITE 110
SURPRISE, AZ 85374
Dentist
15508 W BELL RD, 101-525
SURPRISE, AZ 85374
Psychologist
15508 W BELL RD
SURPRISE, AZ 85374
Occupational Therapist (Pediatrics)
15508 W BELL RD, STE 101-261
SURPRISE, AZ 85374
Specialist/Technologist (Speech-Language Assistant)
15508 W BELL RD, STE 101-261
SURPRISE, AZ 85374

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Creative Life Skills Development's NPI number?

The NPI number for Creative Life Skills Development is 1184703670. It was assigned to this organization in the NPPES registry on November 3, 2006.

Where is Creative Life Skills Development located?

Creative Life Skills Development is located at 15508 W Bell Rd Suite 101-261, Surprise, AZ 85374. The listed phone number is (602) 441-5975.

What is Creative Life Skills Development's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Developmental Disabilities, with taxonomy code 261QD1600X.

When was this NPI record last updated?

The NPPES record for Creative Life Skills Development was last updated on September 7, 2011. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.