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General NPI Number Information
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NPI Number | 1598678542
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Entity Type | Organization
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Legal Business Name | CREATIVE ELEMENTS HEALTH & WELLNESS, PLLC
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Dates
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Enumeration Date | 09/22/2026
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Last Update Date | 09/22/2026
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Provider Practice Location Address
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Address Line | 8401 MAYLAND DR STE 11579
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City | RICHMOND
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State | VA
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Zip | 23294-4648
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Country | US
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Telephone | 202-930-1722
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Fax |
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Provider Business Mailing Address
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Address Line | 8401 MAYLAND DR STE 11579
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City | RICHMOND
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State | VA
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Zip | 23294-4648
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Country | US
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Telephone | 202-930-1722
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | CARLY POLOSKEY
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Credential | LMHC, MT-BC
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Telephone | 561-213-1682
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 101YM0800X
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Taxonomy Name | Mental Health Counselor
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License Number |
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License Number State |
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