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CREATIVE RENEWAL & RESOLUTIONS
NPI 1184915472
Psychologist - Health Service in Springfield, MO

Active since April 21, 2011
1531 E BRADFORD PKWY, STE 210-4, SPRINGFIELD, MO 65804(417) 890-4083(417) 890-4091 Get Directions Write a Review

NPPES record last updated: April 21, 2011. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Creative Renewal & Resolutions NPPES

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

CREATIVE RENEWAL & RESOLUTIONS (NPI 1184915472) is a healthcare organization registered as a health service in Springfield, Missouri and active in the NPI registry since April 2011. The organization lists David L Black, Owner, Managing Member, as its authorized official.

NPPES Registry Identity

NPI1184915472
Entity TypeOrganization
Primary Taxonomy103TH0100X
Legal Business NameCREATIVE RENEWAL & RESOLUTIONS, LLC
Location Address1531 E BRADFORD PKWY, STE 210-4Springfield, MO 65804-6566
Mailing Address1531 E Bradford Pkwy, Ste 210-4Springfield, MO 65804-6566 · (417) 890-4083 · Fax (417) 890-4091
Phone(417) 890-4083
Fax(417) 890-4091
Organization SubpartNo
Authorized OfficialDavid L BlackOwner, Managing Member · (417) 890-4083
Enumeration DateApril 21, 2011
✔ NPI 1184915472 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 9

★ Primary SpecialtyPsychologist · Health ServiceBehavioral Health & Social Service Providers
Taxonomy Code103TH0100X
License✔ Licensed in MO · 2009026793
Definition
A psychologist, certified/licensed at the independent practice level in his/her state, who is duly trained and experienced in the delivery of direct, preventative, assessment, and therapeutic intervention services to individuals whose growth, adjustment, or functioning is actually impaired or is demonstrably at high risk of impairment (1974).
Also ListedPsychologist · Addiction (Substance Use Disorder)Taxonomy 103TA0400X · License 2009026793 (MO)
Also ListedPsychologist · Cognitive & BehavioralTaxonomy 103TB0200X · License 2009026793 (MO)
Also ListedPsychologist · ClinicalTaxonomy 103TC0700X · License 2009026793 (MO)
Also ListedPsychologist · CounselingTaxonomy 103TC1900X · License 2009026793 (MO)
Also ListedPsychologist · Clinical Child & AdolescentTaxonomy 103TC2200X · License 2009026793 (MO)
Also ListedPsychologist · Group PsychotherapyTaxonomy 103TP2701X · License 2009026793 (MO)
Also ListedSocial Worker · ClinicalTaxonomy 1041C0700X · License 2001004284 (MO)
Also ListedMarriage & Family TherapistTaxonomy 106H00000X · License 2001004284 (MO)
1531 E BRADFORD PKWY, Springfield, MO 65804
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Other Names 1

Doing Business AsCreative Renewal & Resolutions

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X MULTIPLE SINGLE SPECIALTY GROUP

Other Providers at the Same Location NPPES 16

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

DR. RENAE MARIE COURTNEY PSY. D.
Psychologist (Clinical)
1531 E BRADFORD PKWY, SUITE 304
SPRINGFIELD, MO 65804
Greene County (417) 888-0861
DR. DANIEL R OSBORN M.D.
Ophthalmology
1531 E BRADFORD PKWY, SUITE 100
SPRINGFIELD, MO 65804
Greene County (417) 887-3900
MS. KIMBERLY ANN RAMACCIOTTI PLPC
Counselor (Professional)
1531 E BRADFORD PKWY, SUITE 304
SPRINGFIELD, MO 65804
Greene County (417) 888-0861
MISSOURI EYE INSTITUTE LLC
Ophthalmology
1531 E BRADFORD PKWY, SUITE 100
SPRINGFIELD, MO 65804
Greene County (417) 887-3900
DR. GINGER A HOLCZER PSYD
Psychologist (Clinical)
1531 E BRADFORD PKWY, SUITE 202
SPRINGFIELD, MO 65804
Greene County (417) 890-1211
DR. CHAD L. CARTER O.D.
Optometrist
1531 E BRADFORD PKWY, SUITE 100
SPRINGFIELD, MO 65804
Greene County (417) 887-3900
REYNOLDS PLASTIC SURGERY LLC
Specialist
1531 E BRADFORD PKWY, SUITE 215
SPRINGFIELD, MO 65804
Greene County (417) 823-9777
DR. DAVID L. BLACK PSY.D., LCSW
Psychologist (Health Service)
1531 E BRADFORD PKWY, STE 210-4
SPRINGFIELD, MO 65804
Greene County (417) 890-4083

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 Renewal & Resolutions, LLC's NPI number?

The NPI number for Creative Renewal & Resolutions, LLC is 1184915472. It was assigned to this organization in the NPPES registry on April 21, 2011. The provider is doing business as Creative Renewal & Resolutions.

Where is Creative Renewal & Resolutions, LLC located?

Creative Renewal & Resolutions, LLC is located at 1531 E Bradford Pkwy Ste 210-4, Springfield, MO 65804. The listed phone number is (417) 890-4083.

What is Creative Renewal & Resolutions, LLC's specialty?

The primary specialty registered for this NPI is Psychologist, specializing in Health Service, with taxonomy code 103TH0100X.

When was this NPI record last updated?

The NPPES record for Creative Renewal & Resolutions, LLC was last updated on April 21, 2011. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 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.