Provider Demographics
NPI:1245453547
Name:CREATING COMMUNICATION, INC.
Entity type:Organization
Organization Name:CREATING COMMUNICATION, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OFFICE MANAGER
Authorized Official - Prefix:MRS
Authorized Official - First Name:VIRGIE
Authorized Official - Middle Name:FORD
Authorized Official - Last Name:DARLEY
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:904-964-8900
Mailing Address - Street 1:603 E CALL ST
Mailing Address - Street 2:
Mailing Address - City:STARKE
Mailing Address - State:FL
Mailing Address - Zip Code:32091-3405
Mailing Address - Country:US
Mailing Address - Phone:904-964-8900
Mailing Address - Fax:904-964-5309
Practice Address - Street 1:603 E CALL ST
Practice Address - Street 2:
Practice Address - City:STARKE
Practice Address - State:FL
Practice Address - Zip Code:32091-3405
Practice Address - Country:US
Practice Address - Phone:904-964-8900
Practice Address - Fax:904-964-5309
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-04-11
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLOT 11085225X00000X
FLSA 6801235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Not Answered225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational TherapistGroup - Multi-Specialty
Not Answered235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language PathologistGroup - Multi-Specialty