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CREATIVE ONE STUDIO INC. NPI 1306084991


NPI Information

NPI: 1306084991
Provider Name: CREATIVE ONE STUDIO, INC.

Former Legal Business Name: CREATIVE ONE COUNSELING

Classification: Community/Behavioral Health - 251S00000X
Entity Type: Organization
Address:
501 S HARVARD AVE
VILLA PARK, IL
ZIP 60181
Phone: (773) 318-7331
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CREATIVE ONE STUDIO, INC. is a community behavioral health in Villa Park, IL. The provider is a private or public agency usually under local government jurisdiction, responsible for assuring the delivery of community based mental health, intellectual disabilities, substance abuse and/or behavioral health services to individuals with those disabilities. Services may range from companion care, respite, transportation, community integration, crisis intervention and stabilization, supported employment, day support, prevocational services, residential support, therapeutic and supportive consultation, environmental modifications, intensive in-home therapy and day treatment, in addition to traditional mental health and behavioral treatment. CREATIVE ONE STUDIO, INC. NPI is 1306084991. The provider is registered as an organization entity type.
The provider Former Legal Business Name Is Creative One Counseling.

The provider's business location address is:

501 S HARVARD AVE
VILLA PARK, IL
ZIP 60181-808
Phone: (773) 318-7331

The provider's authorized official is Tracy Pualani Takaki .
The authorized official title is Professional Counselor and has the following contact phone number (773) 318-7331.

The enumeration date for this NPI number is 2/4/2009 and was last updated on 4/11/2011.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1251S00000XCommunity/Behavioral Health180006573ILLINOISYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

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