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General NPI Number Information
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NPI Number | 1184593451
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Entity Type | Organization
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Legal Business Name | CREATIVE CONNECTIONS THERAPIES LLC
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Dates
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Enumeration Date | 11/04/2025
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Last Update Date | 11/04/2025
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Provider Practice Location Address
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Address Line | 6047 W CALUMET RD
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City | MILWAUKEE
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State | WI
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Zip | 53223-4111
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Country | US
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Telephone | 414-403-5927
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Fax |
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Provider Business Mailing Address
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Address Line | 6047 W CALUMET RD
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City | MILWAUKEE
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State | WI
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Zip | 53223-4111
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | HEATHER HODOROWSKI
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Credential | LPC
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Telephone | 414-403-5927
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 101YM0800X
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Taxonomy Name | Mental Health Counselor
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License Number |
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License Number State |
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