Organization
CREATIVE SPACE ONLINE COUNSELING AND COACHING, LLC
Active
Other names
Creative Space
Organization subpart
No
Provider details
NPI number
Authorized official
BARBARA MAULDING LCPC (CEO/THERAPIST)
(224) 623-2251
Entity
Organization
Contact information
Practice address
1566 SKYRIDGE DR UNIT 2, CRYSTAL LAKE, IL 60014-1027
(224) 623-2251
Mailing address
1566 SKYRIDGE DR UNIT 2, CRYSTAL LAKE, IL 60014-1027
(224) 623-2251
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
180010906
IDFPR
IL
05
—
218215315001
—
IL
Enumeration date
02/19/2019
Last updated
03/13/2024
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