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General NPI Number Information
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NPI Number | 1841564770
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Entity Type | Organization
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Legal Business Name | CREATIVE HEALING SERVICES, LLC
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Dates
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Enumeration Date | 02/23/2012
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Last Update Date | 05/30/2023
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Provider Practice Location Address
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Address Line | 236 BOSTON POST ROAD SUITE 8
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City | ORANGE
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State | CT
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Zip | 06477
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Country | US
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Telephone | 203-600-8900
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Fax | 203-306-3003
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Provider Business Mailing Address
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Address Line | 236 BOSTON POST ROAD SUITE 8
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City | ORANGE
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State | CT
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Zip | 06477
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Country | US
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Telephone | 203-600-8900
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Fax | 203-306-3003
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Authorized Official
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Title or Position | DIRECTOR/OWNER
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Name | MRS. SARAH E KUCHTA
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Credential | LPC, ATR
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Telephone | 203-600-8900
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 101YP2500X
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Taxonomy Name | Professional Counselor
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License Number | 002087
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License Number State | CT
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