Creative Space

LBN: Creative Space Online Counseling And Coaching, Llc
Creative Space is an health care organization with primary practice located at 1566 Skyridge Dr Unit 2 , Crystal Lake IL 60014-1027. The organization recently has only one registered license in Behavioral Health & Social Service Providers / Professional, which is considered as the primary health care specialty. Creative Space Online Counseling And Coaching, Llc can be contacted via phone (224) 623-2251, or through Maulding, Barbara via phone (224) 623-2251.

Contact Information

Primary practice address
1566 Skyridge Dr Unit 2 Crystal Lake IL 60014-1027
Phone: (224) 623-2251
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Maulding, Barbara LCPC
Phone: (224) 623-2251

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Professional 101YP2500X

Profile Details

NPI number 1720544463
LBN Legal business name Creative Space Online Counseling And Coaching, Llc
DBA Doing business as Creative Space
Authorized official Maulding, Barbara LCPC
Entity Organization
Organization subpart 1 No
Enumeration date Feb 19th, 2019
Last updated Mar 13th, 2024 - about last year

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1720544463 NPPES
Illinois MEDICAID 218215315001
Illinois Other 180010906

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