| Creative Space | |
|
1566 Skyridge Dr Unit 2 Crystal Lake IL 60014-1027 | |
| (224) 623-2251 | |
| Not Available |
| Full Name | Creative Space |
|---|---|
| Speciality | Counselor |
| Location | 1566 Skyridge Dr Unit 2, Crystal Lake, Illinois |
| Authorized Official Name and Position | Barbara Maulding (CEO/THERAPIST) |
| Authorized Official Contact | 2246232251 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Creative Space 1566 Skyridge Dr Unit 2 Crystal Lake IL 60014-1027 Ph: (224) 623-2251 | Creative Space 1566 Skyridge Dr Unit 2 Crystal Lake IL 60014-1027 Ph: (224) 623-2251 |
| NPI Number | 1720544463 |
|---|---|
| Provider Enumeration Date | 02/19/2019 |
| Last Update Date | 03/13/2024 |
| Certification Date | 03/13/2024 |
| Medicare PECOS PAC ID | 6002256054 |
|---|---|
| Medicare Enrollment ID | O20240424003630 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1720544463 | NPI | - | NPPES |
| 218215315001 | Medicaid | IL | |
| 180010906 | Other | IL | IDFPR |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YP2500X | Counselor - Professional | (* (Not Available)) | Primary |
| Provider Name | Barbara Maulding |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1710352422 PECOS PAC ID: 2264870989 Enrollment ID: I20240424003745 |
Bennett & Bennett Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 4501 Route 176, Crystal Lake, IL 60014 Phone: 815-477-4003 | |
Good Life Counseling Pllc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 101 N Virginia St Ste 120, Crystal Lake, IL 60014 Phone: 815-893-9544 | |
Beyond Play Llc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 544 Nunda Trl, Crystal Lake, IL 60012 Phone: 224-201-8769 Fax: 224-324-8549 | |
Crystal Lake Wellness, Llc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 610 Crystal Point Dr Ste 2, Crystal Lake, IL 60014 Phone: 815-893-9839 | |
Douglas N Neal & Associates Ltd Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 185 Heritage Drive, Crystal Lake, IL 60014 Phone: 815-477-4727 Fax: 815-356-8779 | |
Edwin V. Gumapas M.d. Pc Mental Health Clinic Medicare: Medicare Enrolled Practice Location: 44 N Virginia St, Suite 2b, Crystal Lake, IL 60014 Phone: 815-356-0475 Fax: 815-356-0796 | |
Rosecrance Crystal Lake Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 422 Tracy Court, Crystal Lake, IL 60014 Phone: 815-391-1000 Fax: 815-316-4726 |