Provider Demographics
NPI:1275371510
Name:CREATE MEANING LLC
Entity type:Organization
Organization Name:CREATE MEANING LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:SINGLE MEMBER LLC OWNER
Authorized Official - Prefix:
Authorized Official - First Name:DAYNE
Authorized Official - Middle Name:
Authorized Official - Last Name:BARTLETT
Authorized Official - Suffix:
Authorized Official - Credentials:MSW, LICSW, LADC
Authorized Official - Phone:507-350-7785
Mailing Address - Street 1:1211 WINONA ST
Mailing Address - Street 2:
Mailing Address - City:NORTHFIELD
Mailing Address - State:MN
Mailing Address - Zip Code:55057-2830
Mailing Address - Country:US
Mailing Address - Phone:507-350-7785
Mailing Address - Fax:
Practice Address - Street 1:1211 WINONA ST
Practice Address - Street 2:
Practice Address - City:NORTHFIELD
Practice Address - State:MN
Practice Address - Zip Code:55057-2830
Practice Address - Country:US
Practice Address - Phone:507-350-7785
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-07-19
Last Update Date:2024-07-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinicalGroup - Single Specialty