Organization
CREATIVE HEALING EXPRESSIVE ARTS CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KARLI JOHNSON (FOUNDER)
(309) 287-0610
Entity
Organization
Contact information
Practice address
107 E CHESTNUT ST, BLOOMINGTON, IL 61701-3009
(309) 490-3060
(309) 490-3060
Mailing address
200 W MONROE ST STE 23, BLOOMINGTON, IL 61701-3955
(309) 287-0610
Taxonomy
Speciality
Code
Description
License number
State
261QM0850X
Adult Mental Health Clinic/Center
Primary
—
—
261QM0855X
Adolescent and Children Mental Health Clinic/Center
—
—
Other
Enumeration date
10/24/2023
Last updated
01/12/2024
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