Healthcare Provider Details
I. General information
NPI: 1730046269
Provider Name (Legal Business Name): CREATIVE HEALING STUDIO LLC
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 01/07/2026
Last Update Date: 01/07/2026
Certification Date: 01/07/2026
Deactivation Date:
Reactivation Date:
III. Provider practice location address
401 N BEDFORD ST
GEORGETOWN DE
19947-2197
US
IV. Provider business mailing address
16 CREEK DR
MILLSBORO DE
19966-9679
US
V. Phone/Fax
- Phone: 302-430-3458
- Fax:
- Phone:
- Fax:
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | N |
| Taxonomy Code | 221700000X |
| Taxonomy | Art Therapist |
| License Number | |
| License Number State | |
| # 2 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 101YP2500X |
| Taxonomy | Professional Counselor |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name:
MARGO
ELSAYD
Title or Position: SOLE MEMBER
Credential: LPC
Phone: 302-430-3458