Provider Demographics
NPI:1184843724
Name:CREATIVE EXCHANGE MUSIC THERAPY CLINIC, LTD
Entity type:Organization
Organization Name:CREATIVE EXCHANGE MUSIC THERAPY CLINIC, LTD
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DIRECTOR
Authorized Official - Prefix:
Authorized Official - First Name:KARI
Authorized Official - Middle Name:D
Authorized Official - Last Name:CHRISTIANSEN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:708-345-6100
Mailing Address - Street 1:1527 WESTCHESTER BLVD
Mailing Address - Street 2:SUITE ONE SOUTH
Mailing Address - City:WESTCHESTER
Mailing Address - State:IL
Mailing Address - Zip Code:60154-3644
Mailing Address - Country:US
Mailing Address - Phone:708-345-6100
Mailing Address - Fax:
Practice Address - Street 1:1527 WESTCHESTER BLVD
Practice Address - Street 2:SUITE ONE SOUTH
Practice Address - City:WESTCHESTER
Practice Address - State:IL
Practice Address - Zip Code:60154-3644
Practice Address - Country:US
Practice Address - Phone:708-345-6100
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-04-24
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes225A00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersMusic TherapistGroup - Single Specialty