Provider Demographics
NPI:1104359157
Name:ATTACURE, LLC
Entity Type:Organization
Organization Name:ATTACURE, LLC
Other - Org Name:CREATIVE CONNECTIONS COUNSELING
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:REBECCA
Authorized Official - Middle Name:ANN
Authorized Official - Last Name:CLUEVER
Authorized Official - Suffix:
Authorized Official - Credentials:MS LMFT
Authorized Official - Phone:320-407-1110
Mailing Address - Street 1:720 8TH AVE N
Mailing Address - Street 2:
Mailing Address - City:SAINT CLOUD
Mailing Address - State:MN
Mailing Address - Zip Code:56303-3420
Mailing Address - Country:US
Mailing Address - Phone:320-407-1110
Mailing Address - Fax:
Practice Address - Street 1:720 8TH AVE N
Practice Address - Street 2:
Practice Address - City:SAINT CLOUD
Practice Address - State:MN
Practice Address - Zip Code:56303-3420
Practice Address - Country:US
Practice Address - Phone:320-333-9228
Practice Address - Fax:320-251-0217
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2017-04-06
Last Update Date:2023-04-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family TherapistGroup - Single Specialty
No101Y00000XBehavioral Health & Social Service ProvidersCounselorGroup - Single Specialty