Healthcare Provider Details

I. General information

NPI: 1245453547
Provider Name (Legal Business Name): CREATING COMMUNICATION, INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 04/11/2007
Last Update Date: 09/11/2025
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

603 E CALL ST
STARKE FL
32091-3405
US

IV. Provider business mailing address

603 E CALL ST
STARKE FL
32091-3405
US

V. Phone/Fax

Practice location:
  • Phone: 904-964-8900
  • Fax: 904-964-5309
Mailing address:
  • Phone: 904-964-8900
  • Fax: 904-964-5309

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225X00000X
TaxonomyOccupational Therapist
License NumberOT 11085
License Number StateFL
# 2
Primary TaxonomyN
Taxonomy Code235Z00000X
TaxonomySpeech-Language Pathologist
License NumberSA 6801
License Number StateFL

VIII. Authorized Official

Name: MRS. VIRGIE FORD DARLEY
Title or Position: OFFICE MANAGER
Credential:
Phone: 904-964-8900