| Name: | Creative Therapeutic Solutions LLC |
| Jurisdiction: | Alabama |
| Legal type: | Domestic Limited Liability Company |
| Status: | Exists |
| Date of registration: | 11 Mar 2020 (5 years ago) |
| Entity Number: | 000-625-758 |
| Register Number: | 000625758 |
| County: | Jefferson |
| Place of Formation: | Jefferson County |
| Registered Office Mailing Address: | PO BOX 360763HOOVER, AL 35236 |
| Registered Office Mailing Address ZIP Code: | 35236 |
| Registered Office Street Address: | 3536 VANN ROAD SUITE A12BIRMINGHAM, AL 35235 |
| Registered Office Street Address ZIP Code: | 35235 |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1396360574 | 2020-06-12 | 2020-06-12 | 3536 VANN RD STE A12, BIRMINGHAM, AL, 352353208, US | 3536 VANN RD STE A12, BIRMINGHAM, AL, 352353208, US | |||||||||||||||||||
|
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| Phone | +1 205-578-2692 |
Authorized person
| Name | CHRISTA R MCCRORIE |
| Role | LICSW, OWNER, FOUNDER |
| Phone | 2055671101 |
Taxonomy
| Taxonomy Code | 261QM0801X - Mental Health Clinic/Center (Including Community Mental Health Center) |
| Is Primary | Yes |
Other Provider Identifiers
| Issuer | MEDICAID |
| Number | 1962032839 |
| State | AL |
| Name | Role | Address |
|---|---|---|
| MCCRORIE, CHRISTA R MRS. | Agent | 3536 VANN ROAD SUITE A12BIRMINGHAM, AL 35235 |
| Name | Role | Address |
|---|---|---|
| MCCRORIE, CHRISTA R MRS. | Organizer | 3536 VANN ROAD SUITE A12BIRMINGHAM, AL 35235 |
Date of last update: 15 Aug 2024
Sources: Alabama Secretary of State
