| Creative Alternatives For Psychological Growth Llc | |
|
645 Mchenry Ave Woodstock IL 60098-2922 | |
| (815) 245-6669 | |
| Not Available |
| Full Name | Creative Alternatives For Psychological Growth Llc |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 645 Mchenry Ave, Woodstock, Illinois |
| Authorized Official Name and Position | Kelly Vinehout (CLINICAL PSYCHOLOGIST) |
| Authorized Official Contact | 8152456669 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Creative Alternatives For Psychological Growth Llc Po Box 1861 Woodstock IL 60098-1861 Ph: (815) 245-6669 | Creative Alternatives For Psychological Growth Llc 645 Mchenry Ave Woodstock IL 60098-2922 Ph: (815) 245-6669 |
| NPI Number | 1063724771 |
|---|---|
| Provider Enumeration Date | 07/10/2010 |
| Last Update Date | 09/14/2010 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1063724771 | NPI | - | NPPES |
| 2201382 | Other | IL | COMPSYCH |
| 600016110 | Other | IL | MAGELLAN |
| 11894012 | Other | IL | CAQH |
| 35641736 | Other | IL | BCBS |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | 071006683 (Illinois) | Primary |
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