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CREATIVE COUNSELING ASSOCIATES LLC NPI 1285836437


NPI Information

NPI: 1285836437
Provider Name: CREATIVE COUNSELING ASSOCIATES, LLC
Classification: Counselor - 101YM0800X
Entity Type: Organization

Specialization: Mental Health

Address:
848 W BARTLETT RD
SUITE 12E
BARTLETT, IL
ZIP 60103
Phone: (630) 837-5303
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CREATIVE COUNSELING ASSOCIATES, LLC is a mental health counselor in Bartlett, IL. CREATIVE COUNSELING ASSOCIATES, LLC NPI is 1285836437. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

848 W BARTLETT RD
SUITE 12E
BARTLETT, IL
ZIP 60103-493
Phone: (630) 837-5303
Fax: (630) 837-5305

The provider's authorized official is Corinna Marie Costello .
The authorized official title is Director, Counselor and has the following contact phone number (630) 837-5303.

The enumeration date for this NPI number is 6/1/2007 and was last updated on 12/19/2011.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1101Y00000XCounselor96178ILLINOISNo
2101YP2500XCounselorProfessional180005808ILLINOISNo
3101YM0800XCounselorMental Health180005808ILLINOISYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1=========OTHERILLINOISTAX ID

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

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