Healthcare Provider Details

I. General information

NPI: 1073426524
Provider Name (Legal Business Name): CREATIVE EXPRESSION COUNSELING
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/25/2026
Last Update Date: 09/25/2026
Certification Date: 09/25/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

16815 W WISCONSIN AVE STE 104
BROOKFIELD WI
53005-5714
US

IV. Provider business mailing address

16815 W WISCONSIN AVE STE 104
BROOKFIELD WI
53005-5714
US

V. Phone/Fax

Practice location:
  • Phone: 262-236-6521
  • Fax: 262-458-4099
Mailing address:
  • Phone: 262-236-6521
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License Number
License Number State

VIII. Authorized Official

Name: ALEXANDRA WILLIAMS
Title or Position: OWNER/THERAPIST
Credential: LPC
Phone: 262-236-6521