Provider Demographics
NPI:1578384350
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:
Authorized Official - Last Name:TOURIGNY
Authorized Official - Suffix:
Authorized Official - Credentials:BCBA
Authorized Official - Phone:773-672-9815
Mailing Address - Street 1:1722 W FARRAGUT AVE UNIT 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:312-275-8553
Practice Address - Street 1:3718 SE 67TH AVE UNIT A
Practice Address - Street 2:
Practice Address - City:PORTLAND
Practice Address - State:OR
Practice Address - Zip Code:97206-2660
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:2024-10-23
Last Update Date:2024-10-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes103K00000XBehavioral Health & Social Service ProvidersBehavior AnalystGroup - Single Specialty
No251S00000XAgenciesCommunity/Behavioral Health