Provider Demographics
NPI:1245636224
Name:CREATIVE COUNSELING SOLUTIONS OF SARASOTA, INC.
Entity type:Organization
Organization Name:CREATIVE COUNSELING SOLUTIONS OF SARASOTA, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:EXECUTIVE DIRECTOR
Authorized Official - Prefix:MS
Authorized Official - First Name:NATALIE
Authorized Official - Middle Name:
Authorized Official - Last Name:LAMPKIN
Authorized Official - Suffix:
Authorized Official - Credentials:LMHC
Authorized Official - Phone:941-932-1134
Mailing Address - Street 1:2803 FRUITVILLE RD STE 137
Mailing Address - Street 2:
Mailing Address - City:SARASOTA
Mailing Address - State:FL
Mailing Address - Zip Code:34237-5367
Mailing Address - Country:US
Mailing Address - Phone:941-932-1134
Mailing Address - Fax:941-351-8960
Practice Address - Street 1:2803 FRUITVILLE RD
Practice Address - Street 2:SUITE 137
Practice Address - City:SARASOTA
Practice Address - State:FL
Practice Address - Zip Code:34237-5344
Practice Address - Country:US
Practice Address - Phone:941-932-1134
Practice Address - Fax:941-351-8960
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2014-11-18
Last Update Date:2023-08-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLMH 7241101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental HealthGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL1366515777OtherNPI