1. Home
  2. Directory
  3. Nevada
  4. Las Vegas
  5. Counselor
  6. NPI Profile

CREATIVE LIFE BEHAVIORAL HEALTH SERVICE
NPI 1932446069
Counselor in Las Vegas, NV

Active since January 09, 2013
5175 CAMINO AL NORTE, LAS VEGAS, NV 89031(702) 648-3913 Get Directions Write a Review

NPPES record last updated: January 9, 2013. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Creative Life Behavioral Health Service NPPES

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

CREATIVE LIFE BEHAVIORAL HEALTH SERVICE (NPI 1932446069) is a healthcare organization registered as a counselor in Las Vegas, Nevada and active in the NPI registry since January 2013. The organization lists Ieasha Nicole Pettus, Bst, as its authorized official.

NPPES Registry Identity

NPI1932446069
Entity TypeOrganization
Primary Taxonomy101Y00000X
Legal Business NameCREATIVE LIFE BEHAVIORAL HEALTH SERVICE
Location Address5175 CAMINO AL NORTELas Vegas, NV 89031
Mailing Address5175 Camino Al NorteNorth Las Vegas, NV 89031-2407 · (702) 648-3913
Phone(702) 648-3913
Organization SubpartNo
Authorized OfficialIeasha Nicole PettusBst · (702) 643-0713
Enumeration DateJanuary 9, 2013
✔ NPI 1932446069 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselorBehavioral Health & Social Service Providers
Taxonomy Code101Y00000X
License✔ Licensed in CA · 570574888
Definition
A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master's degree and clinical experience and supervision for licensure or certification.
5175 CAMINO AL NORTE, Las Vegas, NV 89031
Open in Google Maps ↗

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Other Providers at the Same Location NPPES 10

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

JENNIFER STORMS
Rehabilitation Practitioner
5175 CAMINO AL NORTE
N LAS VEGAS, NV 89031
Clark County (702) 648-3913
MR. JEFFREY RHASHOD SIMS
Rehabilitation Practitioner
5175 CAMINO AL NORTE, SUITE 100
N LAS VEGAS, NV 89031
Clark County (702) 648-3913
MR. DEANGELO DUBOIS COLE BST
Rehabilitation Practitioner
5175 CAMINO AL NORTE, SUITE 100
NORTH LAS VEGAS, NV 89031
Clark County (702) 648-3913
DEVON LEVON WHITAKER
Rehabilitation Practitioner
5175 CAMINO AL NORTE, SUITE 100
NORTH LAS VEGAS, NV 89031
Clark County (702) 648-3913
LASHEE M SMALL
Rehabilitation Practitioner
5175 CAMINO AL NORTE, SUITE 100
NORTH LAS VEGAS, NV 89031
Clark County (702) 648-3913
R&R RESIDENTIAL SERVICES LLC
Counselor (Mental Health)
5175 CAMINO AL NORTE, STE. 100
NORTH LAS VEGAS, NV 89031
Clark County (702) 636-9357
SKYE MILERY DIGGS
Behavior Analyst
5175 CAMINO AL NORTE, 100
NORTH LAS VEGAS, NV 89031
Clark County (702) 648-3913
MRS. DARLA HARRIS
Rehabilitation Practitioner
5175 CAMINO AL NORTE, STE 100
N LAS VEGAS, NV 89031
Clark County (702) 648-3913

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 Behavioral Health Service's NPI number?

The NPI number for Creative Life Behavioral Health Service is 1932446069. It was assigned to this organization in the NPPES registry on January 9, 2013.

Where is Creative Life Behavioral Health Service located?

Creative Life Behavioral Health Service is located at 5175 Camino Al Norte, Las Vegas, NV 89031. The listed phone number is (702) 648-3913.

What is Creative Life Behavioral Health Service's specialty?

The primary specialty registered for this NPI is Counselor with taxonomy code 101Y00000X.

When was this NPI record last updated?

The NPPES record for Creative Life Behavioral Health Service was last updated on January 9, 2013. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 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.