CREATIVE LIFE SKILLS DEVELOPMENT
NPI 1184703670
Clinic/Center - Developmental Disabilities in Surprise, AZ
- Organization
- Clinic/Center
- Developmental Disabilities
About CREATIVE LIFE SKILLS DEVELOPMENT
This page provides the complete NPI Profile along with additional information for Creative Life Skills Development, a provider established in Surprise, Arizona operating as a Clinic/center, focusing in developmental disabilities . The healthcare provider is registered in the NPI registry with number 1184703670 assigned on November 2006. The practitioner's primary taxonomy code is 261QD1600X. The provider is registered as an organization and their NPI record was last updated 15 years ago. Creative Life Skills Development operates as a Multi-Specialty Group with one or more individual practitioners, who practice different areas of specialization. The authorized official of this NPI record is Mrs. Lisa Lyn Herrmann M.s Otr/l (Owner)
- NPI
- 1184703670 Verify this NPI
- Provider Name
- CREATIVE LIFE SKILLS DEVELOPMENT
- Entity Type
- Organization
- Location Address
- 15508 W BELL RD SUITE 101-261 SURPRISE, AZ 85374
- Location Phone
- (602) 441-5975
- Location Fax
- (602) 485-8859
- Mailing Address
- 15508 W BELL RD SUITE 101-261 SURPRISE, AZ 85374
- Mailing Phone
- (602) 441-5975
- Mailing Fax
- (602) 485-8859
- Is Sole Proprietor?
- No
- Is Organization Subpart?
- No
- Enumeration Date
- 11-03-2006
- Last Update Date
- 09-07-2011
- Code Navigator
Location Map
Specialty - Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
- Classification
Clinic/Center Developmental Disabilities
- Taxonomy Code
- 261QD1600X
- Type
- Ambulatory Health Care Facilities
- Taxonomy Description
- 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.).
Secondary Taxonomies
The provider has reported to the NPI enumerator additional taxonomy codes. Multiple taxonomy codes may represent subspecialties or other areas of specialization the provider maybe licensed to practice.
| No. | Taxonomy Code | Type | Classification / Specialization |
License No. (State) |
|---|---|---|---|---|
| 1 | 2251P0200X | Respiratory, Developmental, Rehabilitative and Restorative Service Providers | Physical Therapist | |
| 2 | 225XP0200X | Respiratory, Developmental, Rehabilitative and Restorative Service Providers | Occupational Therapist | |
| 3 | 235Z00000X | Speech, Language and Hearing Service Providers | Speech-Language Pathologist | |
| 4 | 320600000X | Residential Treatment Facilities | Residential Treatment Facility, Intellectual and/or Developmental Disabilities | 2762 (AZ) |
Group Taxonomy 193200000X MULTI-SPECIALTY GROUP
This provider is a business group of one or more individual practitioners, who practice with different areas of specialization.
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Other Providers at the Same Location
The following 7 providers are registered at the same or a nearby location.
SURPRISE, AZ 85374
SURPRISE, AZ 85374
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1184703670, enumerated as an "organization" on November 03, 2006.
The provider is located at 15508 W BELL RD SUITE 101-261 SURPRISE, AZ 85374 and the phone number is (602) 441-5975.
Clinic/Center with taxonomy code 261QD1600X and a focus in Developmental Disabilities.
