Provider Demographics
NPI:1104172402
Name:KREATIVE KARE ACADEMY
Entity type:Organization
Organization Name:KREATIVE KARE ACADEMY
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:ADMINISTRATOR
Authorized Official - Prefix:MS
Authorized Official - First Name:JOY
Authorized Official - Middle Name:YVONNE
Authorized Official - Last Name:SEEDANEE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:832-367-1241
Mailing Address - Street 1:5999 W 34TH ST STE 108
Mailing Address - Street 2:
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77092-6434
Mailing Address - Country:US
Mailing Address - Phone:832-367-1241
Mailing Address - Fax:713-496-1235
Practice Address - Street 1:5999 W 34TH ST STE 108
Practice Address - Street 2:
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77092-6434
Practice Address - Country:US
Practice Address - Phone:832-367-1241
Practice Address - Fax:713-496-1235
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2012-07-24
Last Update Date:2012-07-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental HealthGroup - Single Specialty