=====================================================
General NPI Number Information
=====================================================
NPI Number | 1073426524
-----------------------------------------------------
Entity Type | Organization
-----------------------------------------------------
Legal Business Name | CREATIVE EXPRESSION COUNSELING
-----------------------------------------------------
=====================================================
Dates
=====================================================
Enumeration Date | 09/25/2026
-----------------------------------------------------
Last Update Date | 09/25/2026
-----------------------------------------------------
=====================================================
Provider Practice Location Address
=====================================================
Address Line | 16815 W WISCONSIN AVE STE 104
-----------------------------------------------------
City | BROOKFIELD
-----------------------------------------------------
State | WI
-----------------------------------------------------
Zip | 53005-5714
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 262-236-6521
-----------------------------------------------------
Fax | 262-458-4099
-----------------------------------------------------
=====================================================
Provider Business Mailing Address
=====================================================
Address Line | 16815 W WISCONSIN AVE STE 104
-----------------------------------------------------
City | BROOKFIELD
-----------------------------------------------------
State | WI
-----------------------------------------------------
Zip | 53005-5714
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 262-236-6521
-----------------------------------------------------
Fax |
-----------------------------------------------------
=====================================================
Authorized Official
=====================================================
Title or Position | OWNER/THERAPIST
-----------------------------------------------------
Name | ALEXANDRA WILLIAMS
-----------------------------------------------------
Credential | LPC
-----------------------------------------------------
Telephone | 262-236-6521
-----------------------------------------------------
=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
Taxonomy Code | 101YM0800X
-----------------------------------------------------
Taxonomy Name | Mental Health Counselor
-----------------------------------------------------
License Number |
-----------------------------------------------------
License Number State |
-----------------------------------------------------