| Creative Healing Expressive Arts Center | |
|
107 E Chestnut St Bloomington IL 61701-3009 | |
| (309) 490-3060 | |
| (309) 490-3060 |
| Full Name | Creative Healing Expressive Arts Center |
|---|---|
| Speciality | Clinic/center - Adult Mental Health |
| Location | 107 E Chestnut St, Bloomington, Illinois |
| Authorized Official Name and Position | Karli Johnson (FOUNDER) |
| Authorized Official Contact | 3092870610 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Creative Healing Expressive Arts Center 200 W Monroe St Ste 23 Bloomington IL 61701-3955 Ph: (309) 287-0610 | Creative Healing Expressive Arts Center 107 E Chestnut St Bloomington IL 61701-3009 Ph: (309) 490-3060 |
| NPI Number | 1275305278 |
|---|---|
| Provider Enumeration Date | 10/24/2023 |
| Last Update Date | 01/12/2024 |
| Certification Date | 01/12/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1275305278 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0850X | Clinic/center - Adult Mental Health | (* (Not Available)) | Primary |
| 261QM0855X | Clinic/center - Adolescent And Children Mental Health | (* (Not Available)) | Secondary |
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