# CREATIVE THERAPEUTICS, LLC

> Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days. [Update your NPPES record](https://nppes.cms.hhs.gov)

- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1275787400
- **Authorized official:** MR. JOHN FRANCIS HENNESSEY L.C.S.W. (AGENT/MANAGER AND MEMBER)
- **Authorized official phone:** (860) 429-2500

## Contact information

- **Practice address:** 1066 STORRS RD, SUITE C, STORRS MANSFIELD, CT 06268-2648
- **Practice address phone:** (860) 429-2500
- **Practice address fax:** (860) 429-2501
- **Mailing address:** 140 CRANE HILL RD, STORRS MANSFIELD, CT 06268-2800
- **Mailing address phone:** (860) 377-2996

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 106H00000X | Marriage & Family Therapist | 000568 | CT | Yes |

## Other

- **Enumeration date:** 11/14/2008
- **Last updated:** 11/14/2008

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | 000568 | STATE OF CT DEPARTMENT OF PUBLIC HEALTH | CT |