Creative Counseling For Healthy Living, LLC
Clinic/Center, Mental Health (Including Community Mental Health Center) in Moline, IL. Organization (NPI-2).
NPI number1902370422
StatusActive
Last updated in NPPESJan 17, 2019
Details
- NPI
- 1902370422
- Entity type
- Organization (NPI-2)
- Legal business name
- Creative Counseling For Healthy Living, LLC
- Organization subpart
- No
- Enumeration date
- Jan 17, 2019
- Last updated
- Jan 17, 2019
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 261QM0801X | Clinic/Center, Mental Health (Including Community Mental Health Center) | – | – | Yes |
Practice location
5030 38th Ave Ste 10&11Moline, IL 61265-6717
Phone 309-429-8959
Mailing address
5030 38th Ave Ste 10&11Moline, IL 61265-6717
Phone 309-429-8959
Authorized official
Jennifer Welvaert-Koch
Counselor
3094298959
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