Healthcare Provider Details

I. General information

NPI: 1093629396
Provider Name (Legal Business Name): CREATIVE ENERGY, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 10/01/2026
Last Update Date: 10/01/2026
Certification Date: 10/01/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

17922 TEXAS WILDFLOWER DR
CYPRESS TX
77433-1507
US

IV. Provider business mailing address

17922 TEXAS WILDFLOWER DR
CYPRESS TX
77433-1507
US

V. Phone/Fax

Practice location:
  • Phone: 832-934-4392
  • Fax:
Mailing address:
  • Phone: 832-934-4392
  • 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: DR. KIMBERLY ROCHELLE MCLEOD
Title or Position: OWNER
Credential: ED.D., LPC-A, NCC
Phone: 832-934-4392