Healthcare Provider Details
I. General information
NPI: 1982574760
Provider Name (Legal Business Name): CREATIVE WELLNESS SOLUTIONS
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 11/07/2025
Last Update Date: 12/08/2025
Certification Date: 12/08/2025
Deactivation Date:
Reactivation Date:
III. Provider practice location address
7160 EDGEFIELD DRIVE
NEW ORLEANS LA
70128
US
IV. Provider business mailing address
3157 GENTILLY BLVD PMB:2337
NEW ORLEANS LA
70122
US
V. Phone/Fax
- Phone: 504-451-2404
- Fax:
- Phone: 504-451-2404
- Fax:
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 101YM0800X |
| Taxonomy | Mental Health Counselor |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name:
KIRSHLA
HINGLE
Title or Position: THERAPIST
Credential: LPC
Phone: 504-451-2404