CREATIVE LIFE STRATEGIES, LLC
NPI 1205475878
Counselor - Professional in Beachwood, NJ

Active since December 31, 2019
625 ROUTE 9, BEACHWOOD, NJ 08722(732) 580-6619(732) 228-7335 Get Directions Write a Review

NPPES record last updated: December 31, 2019. Verified against the NPPES registry weekly; last sync: July 19, 2026.

  • Organization
  • Counselor
  • Professional

About CREATIVE LIFE STRATEGIES, LLC

This page provides the complete NPI Profile along with additional information for Creative Life Strategies, Llc, a provider established in Beachwood, New Jersey operating as a Counselor, focusing in professional . The healthcare provider is registered in the NPI registry with number 1205475878 assigned on December 2019. The practitioner's primary taxonomy code is 101YP2500X. The provider is registered as an organization and their NPI record was last updated 7 years ago. Creative Life Strategies, Llc 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 Christine Leotta-selby Lpc,lcadc (Licensed Professional Counselor)

NPI
1205475878 Verify this NPI
Provider Name
CREATIVE LIFE STRATEGIES, LLC
Entity Type
Organization
Location Address
625 ROUTE 9 BEACHWOOD, NJ 08722
Location Phone
(732) 580-6619
Location Fax
(732) 228-7335
Mailing Address
PO BOX 110 BAYVILLE, NJ 08721
Mailing Phone
(732) 580-6619
Mailing Fax
(732) 228-7335
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
12-31-2019
Last Update Date
12-31-2019
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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

Counselor Professional

Taxonomy Code
101YP2500X
Type
Behavioral Health & Social Service Providers

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)
1101YA0400XBehavioral Health & Social Service Providers

Counselor
Addiction (Substance Use Disorder)

 
2101YM0800XBehavioral Health & Social Service Providers

Counselor
Mental Health

 
3101YS0200XBehavioral Health & Social Service Providers

Counselor
School

 

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.

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

CHRISTINE LEOTTA-SELBY LPC,LCADC

Authorized Official Title
LICENSED PROFESSIONAL COUNSELOR
Authorized Official Phone
(732) 580-6619

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Other Providers at the Same Location


The following 1 provider is registered at the same or a nearby location.

Counselor (Addiction (Substance Use Disorder))
625 ROUTE 9
BEACHWOOD, NJ 08722

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1205475878, enumerated as an "organization" on December 31, 2019.

The provider is located at 625 ROUTE 9 BEACHWOOD, NJ 08722 and the phone number is (732) 580-6619.

Counselor with taxonomy code 101YP2500X and a focus in Professional.