CREATIVE LIFE SKILLS DEVELOPMENT, LLC
NPI 1598983710
Residential Treatment Facility, Intellectual and/or Developmental Disabilities in Phoenix, AZ

Active since April 23, 2007
1941 E WESCOTT DR, PHOENIX, AZ 85024(602) 441-5975(602) 485-8859 Get Directions Write a Review

NPPES record last updated: August 22, 2020. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Creative Life Skills Development, Llc NPPES

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

CREATIVE LIFE SKILLS DEVELOPMENT, LLC (NPI 1598983710) is a healthcare organization registered as a residential treatment facility, intellectual and/or developmental disabilities in Phoenix, Arizona and active in the NPI registry since April 2007. The organization lists Lisa Lyn Herrmann, Owner, as its authorized official.

NPPES Registry Identity

NPI1598983710
Entity TypeOrganization
Primary Taxonomy320600000X
Legal Business NameCREATIVE LIFE SKILLS DEVELOPMENT, INC
Location Address1941 E WESCOTT DRPhoenix, AZ 85024-2434
Mailing AddressPo Box 71726Phoenix, AZ 85050-1013 · (602) 441-5975 · Fax (602) 485-8859
Fax(602) 485-8859
Organization SubpartNo
Authorized OfficialLisa Lyn HerrmannOwner · (602) 441-5975
Enumeration DateApril 23, 2007
Last NPPES UpdateAugust 22, 2020
NPI 1598983710 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyResidential Treatment Facility, Intellectual and/or Developmental DisabilitiesResidential Treatment Facilities
Taxonomy Code320600000X
License Licensed in AZ · 2762
Definition
A residential facility that provides habilitation services and other care and treatment to adults or children diagnosed with developmental and intellectual disabilities and are not able to live independently.
1941 E WESCOTT DR, Phoenix, AZ 85024

Other Names 1

Other NameCreative Life Skills Development, Llc

Other Providers at the Same Location NPPES

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

Speech-Language Pathologist
1941 E WESCOTT DR
PHOENIX, AZ 85024

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, Inc's NPI number?

The NPI number for Creative Life Skills Development, Inc is 1598983710. It was assigned to this organization in the NPPES registry on April 23, 2007. The provider is also known as Creative Life Skills Development, LLC.

Where is Creative Life Skills Development, Inc located?

Creative Life Skills Development, Inc is located at 1941 E Wescott Dr, Phoenix, AZ 85024. The listed phone number is (602) 441-5975.

What is Creative Life Skills Development, Inc's specialty?

The primary specialty registered for this NPI is Residential Treatment Facility, Intellectual and/or Developmental Disabilities with taxonomy code 320600000X.

When was this NPI record last updated?

The NPPES record for Creative Life Skills Development, Inc was last updated on August 22, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.