Healthcare Provider Details

I. General information

NPI: 1780145839
Provider Name (Legal Business Name): CREATIVE HOPE LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 03/29/2019
Last Update Date: 02/27/2025
Certification Date: 02/27/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

56 ARBOR ST
HARTFORD CT
06106-1222
US

IV. Provider business mailing address

56 ARBOR ST STE 306
HARTFORD CT
06106-1225
US

V. Phone/Fax

Practice location:
  • Phone: 860-850-2852
  • Fax:
Mailing address:
  • Phone: 860-850-2852
  • Fax: 860-413-0922

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101Y00000X
TaxonomyCounselor
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code251S00000X
TaxonomyCommunity/Behavioral Health Agency
License Number
License Number State

VIII. Authorized Official

Name: CRISTINA CALAMITA
Title or Position: CLINICIAN & OWNER
Credential: LPC, ATR-BC, CLAT
Phone: 860-850-2852