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General NPI Number Information
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NPI Number | 1184334229
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Entity Type | Organization
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Legal Business Name | CREATIVE HEALING PLLC
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Dates
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Enumeration Date | 11/30/2022
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Last Update Date | 03/06/2023
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Provider Practice Location Address
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Address Line | 4620 N RACINE AVE APT 19
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City | CHICAGO
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State | IL
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Zip | 60640-4900
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Country | US
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Telephone | 708-480-2022
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Fax |
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Provider Business Mailing Address
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Address Line | 1343 W IRVING PARK RD UNIT 13469
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City | CHICAGO
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State | IL
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Zip | 60613-8323
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Country | US
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Telephone | 708-480-2022
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Fax |
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Authorized Official
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Title or Position | OWNER/PSYCHOTHERAPIST
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Name | SARAH A MUELLER
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Credential | MA, LCPC, ATR-BC
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Telephone | 708-480-2022
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QM0801X
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Taxonomy Name | Mental Health Clinic/Center (Including Community Mental Health Center)
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 261QM0850X
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Taxonomy Name | Adult Mental Health Clinic/Center
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License Number |
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License Number State |
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