Healthcare Provider Details

I. General information

NPI: 1922973809
Provider Name (Legal Business Name): CREATIVE WELLNESS THERAPY LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 10/09/2025
Last Update Date: 10/09/2026
Certification Date: 10/09/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

505 VALLEY BROOK RD STE 208
MC MURRAY PA
15317-3439
US

IV. Provider business mailing address

536 VILLAGE GREEN BLVD W
MARS PA
16046-4820
US

V. Phone/Fax

Practice location:
  • Phone: 724-901-1056
  • Fax:
Mailing address:
  • Phone: 724-901-1056
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YP2500X
TaxonomyProfessional Counselor
License Number
License Number StateNULL

VIII. Authorized Official

Name: MELISSA SPENCE-RUMBURD
Title or Position: OWNER
Credential: LPC
Phone: 724-901-1056