Organization
CREATIVE LIFE INITIATIVES, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
RICHARD MICHAEL TRAPP MA (LCPC)
(708) 606-9690
Entity
Organization
Contact information
Practice address
119 STEPHEN ST, LEMONT, IL 60439-3660
(708) 606-9690
(708) 570-3833
Mailing address
119 STEPHEN ST, LEMONT, IL 60439-3660
(708) 606-9690
(708) 570-3833
Taxonomy
Speciality
Code
Description
License number
State
261QM0850X
Adult Mental Health Clinic/Center
Primary
—
—
Other
Enumeration date
05/29/2019
Last updated
05/29/2019
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