Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Creative Change Dynamic Therapy LLC

Organization Community/Behavioral Health Agency · NPI 1245020833

Creative Change Dynamic Therapy LLC is a Community/Behavioral Health Agency in Washington, District of Columbia. Registered with an NPI since 2025.

In the registry since
2025
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

2825 Robinson Pl SE # 102
Washington, DC 20020
Phone: (240) 528-3406
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Community/Behavioral Health Agency (primary) Taxonomy 251S00000X

Record details

NPI number1245020833
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Domonique Malloy — Owner · (240) 528-3406
NPI enumeratedMay 8, 2025
Last updated in NPPESMay 8, 2025
Certification dateApril 24, 2025
Mailing addressPo Box 2003, Greenbelt, MD 20768-2003

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