Provider Demographics
NPI:1902329493
Name:CENTER FOR CREATIVE GROWTH INC
Entity type:Organization
Organization Name:CENTER FOR CREATIVE GROWTH INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CLINICAL ART THERAPIST & OWNER
Authorized Official - Prefix:
Authorized Official - First Name:DANIELLE
Authorized Official - Middle Name:
Authorized Official - Last Name:BEARDSLEY
Authorized Official - Suffix:
Authorized Official - Credentials:LCPC, CADC, ATR
Authorized Official - Phone:331-442-7215
Mailing Address - Street 1:117 S COOK ST # 219
Mailing Address - Street 2:
Mailing Address - City:BARRINGTON
Mailing Address - State:IL
Mailing Address - Zip Code:60010-4311
Mailing Address - Country:US
Mailing Address - Phone:331-442-7215
Mailing Address - Fax:815-846-6162
Practice Address - Street 1:117 S COOK ST # 219
Practice Address - Street 2:
Practice Address - City:BARRINGTON
Practice Address - State:IL
Practice Address - Zip Code:60010-4311
Practice Address - Country:US
Practice Address - Phone:331-442-7215
Practice Address - Fax:815-846-6162
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2017-07-17
Last Update Date:2025-03-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessionalGroup - Multi-Specialty
No101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)Group - Multi-Specialty