Provider Demographics
NPI:1922570159
Name:CREATIVE COMMUNICATIONS, LLC
Entity type:Organization
Organization Name:CREATIVE COMMUNICATIONS, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:DANIEL
Authorized Official - Middle Name:BRIAN
Authorized Official - Last Name:TOURIGNY
Authorized Official - Suffix:
Authorized Official - Credentials:BCBA
Authorized Official - Phone:314-696-9310
Mailing Address - Street 1:1722 W FARRAGUT AVE APT 2
Mailing Address - Street 2:
Mailing Address - City:CHICAGO
Mailing Address - State:IL
Mailing Address - Zip Code:60640-2012
Mailing Address - Country:US
Mailing Address - Phone:773-672-9815
Mailing Address - Fax:312-216-0746
Practice Address - Street 1:737 W WRIGHTWOOD AVE
Practice Address - Street 2:
Practice Address - City:CHICAGO
Practice Address - State:IL
Practice Address - Zip Code:60614-2539
Practice Address - Country:US
Practice Address - Phone:773-672-9815
Practice Address - Fax:312-275-8553
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2018-12-28
Last Update Date:2024-10-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes103K00000XBehavioral Health & Social Service ProvidersBehavior AnalystGroup - Single Specialty
No251S00000XAgenciesCommunity/Behavioral HealthGroup - Single Specialty