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General NPI Number Information
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NPI Number | 1316872534
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Entity Type | Organization
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Legal Business Name | CREATIVE THERAPY LLC
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Dates
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Enumeration Date | 06/17/2026
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Last Update Date | 06/17/2026
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Provider Practice Location Address
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Address Line | 833 KENMOOR AVE SE STE A
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City | GRAND RAPIDS
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State | MI
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Zip | 49546-2390
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Country | US
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Telephone | 616-227-3423
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Fax |
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Provider Business Mailing Address
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Address Line | 2614 RICHARDS DR SE
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City | GRAND RAPIDS
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State | MI
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Zip | 49506-4736
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Country | US
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Telephone | 616-446-7710
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Fax |
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Authorized Official
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Title or Position | COUNSELOR
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Name | KERRY L HUVER
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Credential | MPS, LPC
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Telephone | 616-446-7710
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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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