Provider Demographics
NPI:1578192100
Name:CREATIVE FORCES THERAPY
Entity Type:Organization
Organization Name:CREATIVE FORCES THERAPY
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:KRISTIN
Authorized Official - Middle Name:
Authorized Official - Last Name:SCHMIDT
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:608-313-4060
Mailing Address - Street 1:301 S BEDFORD ST STE 7
Mailing Address - Street 2:
Mailing Address - City:MADISON
Mailing Address - State:WI
Mailing Address - Zip Code:53703-3695
Mailing Address - Country:US
Mailing Address - Phone:608-313-4060
Mailing Address - Fax:608-999-7339
Practice Address - Street 1:301 S BEDFORD ST STE 7
Practice Address - Street 2:
Practice Address - City:MADISON
Practice Address - State:WI
Practice Address - Zip Code:53703-3695
Practice Address - Country:US
Practice Address - Phone:608-313-4060
Practice Address - Fax:608-999-7339
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-04-06
Last Update Date:2021-12-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QM0855XAmbulatory Health Care FacilitiesClinic/CenterAdolescent and Children Mental Health