| Creative Life Initiatives, Llc | |
|
119 Stephen St Lemont IL 60439-3660 | |
| (708) 606-9690 | |
| (708) 570-3833 |
| Full Name | Creative Life Initiatives, Llc |
|---|---|
| Speciality | Clinic/center - Adult Mental Health |
| Location | 119 Stephen St, Lemont, Illinois |
| Authorized Official Name and Position | Richard Michael Trapp (LCPC) |
| Authorized Official Contact | 7086069690 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Creative Life Initiatives, Llc 119 Stephen St Lemont IL 60439-3660 Ph: (708) 606-9690 | Creative Life Initiatives, Llc 119 Stephen St Lemont IL 60439-3660 Ph: (708) 606-9690 |
| NPI Number | 1932767696 |
|---|---|
| Provider Enumeration Date | 05/29/2019 |
| Last Update Date | 05/29/2019 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1932767696 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0850X | Clinic/center - Adult Mental Health | (* (Not Available)) | Primary |
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