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CREATIVE CHANGE DYNAMIC THERAPY LLC
NPI 1245020833
Community/Behavioral Health in Washington, DC

Active since May 08, 2025
2825 ROBINSON PLACE, SE # 102, WASHINGTON, DC 20020(240) 528-3406 Get Directions Write a Review

NPPES record last updated: May 8, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Creative Change Dynamic Therapy Llc NPPES

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

CREATIVE CHANGE DYNAMIC THERAPY LLC (NPI 1245020833) is a healthcare organization registered as a community/behavioral health in Washington, District Of Columbia and active in the NPI registry since May 2025. The organization lists Domonique Malloy, Owner, as its authorized official.

NPPES Registry Identity

NPI1245020833
Entity TypeOrganization
Primary Taxonomy251S00000X
Legal Business NameCREATIVE CHANGE DYNAMIC THERAPY LLC
Location Address2825 ROBINSON PLACE, SE # 102Washington, DC 20020
Mailing AddressPo Box 2003Greenbelt, MD 20768-2003
Phone(240) 528-3406
Organization SubpartNo
Authorized OfficialDomonique MalloyOwner · (240) 528-3406
Enumeration DateMay 8, 2025
NPPES CertifiedApril 24, 2025
✔ NPI 1245020833 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCommunity/Behavioral HealthAgencies
Taxonomy Code251S00000X
Definition
A private or public agency usually under local government jurisdiction, responsible for assuring the delivery of community based mental health, intellectual disabilities, substance abuse and/or behavioral health services to individuals with those disabilities. Services may range from companion care, respite, transportation, community integration, crisis intervention and stabilization, supported employment, day support, prevocational services, residential support, therapeutic and supportive consultation, environmental modifications, intensive in-home therapy and day treatment, in addition to traditional mental health and behavioral treatment.
2825 ROBINSON PLACE, SE # 102, Washington, DC 20020
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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 Change Dynamic Therapy LLC's NPI number?

The NPI number for Creative Change Dynamic Therapy LLC is 1245020833. It was assigned to this organization in the NPPES registry on May 8, 2025.

Where is Creative Change Dynamic Therapy LLC located?

Creative Change Dynamic Therapy LLC is located at 2825 Robinson Place, SE # 102, Washington, DC 20020. The listed phone number is (240) 528-3406.

What is Creative Change Dynamic Therapy LLC's specialty?

The primary specialty registered for this NPI is Community/Behavioral Health with taxonomy code 251S00000X.

When was this NPI record last updated?

The NPPES record for Creative Change Dynamic Therapy LLC was last updated on May 8, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 months 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.