MEDICARE: CREATEABILITIES LLC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	251S00000X	Community/Behavioral Health Agency
2	261QM0855X	Adolescent and Children Mental Health Clinic/Center

General Provider Information

NPI Number	:	1205496411
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	CREATEABILITIES LLC

Provider Business Mailing Address
First Line	:	16 LEADER HEIGHTS RD.
Second Line	:	OFFICE #105
City	:	YORK
State	:	PA
Zip	:	17403-5033
Country	:	US
Telephone Number	:	717-747-6400
Fax Number	:

Provider Business Practice Location Address
First Line	:	16 LEADER HEIGHTS RD.
Second Line	:	OFFICE #105
City	:	YORK
State	:	PA
Zip	:	17403-5033
Country	:	US
Telephone Number	:	717-747-6400
Fax Number	:

Authorized Official
Title or Position	:	OWNER/THERAPIST
Name	:	MRS. AMANDA LEE KESSLER
Credential	:	LCSW LBS
Telephone Number	:	717-747-2400

Provider Enumeration Date	:	06/19/2019
Last Update Date	:	11/24/2025

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