Creative Reflections Counseling Center, LLC

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

001730 Issued in CT

Legal business name

CREATIVE REFLECTIONS COUNSELING CENTER, LLC

Practice address

943 Queen St
Second Floor
Southington, CT 06489-1234

Phone

(860) 479-1735

NPI assigned

Feb 29, 2012

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Amy Lynne Mulrooney, LPCNPI 1871727362

Title

Manager

Phone

(860) 479-1735

Specialties & licenses 1

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Amy Lynne Mulrooney, LPC

  • Professional Counselor
  • Southington, CT
  • NPI 1871727362
  Authorized official Same address or phone

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1330473600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1434585600000",
    "number": "1679847255",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "17 RELIANCE RD",
            "city": "PLAINVILLE",
            "state": "CT",
            "postal_code": "060621419",
            "telephone_number": "860-479-1735"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "943 QUEEN ST",
            "address_2": "SECOND FLOOR",
            "city": "SOUTHINGTON",
            "state": "CT",
            "postal_code": "064891234",
            "telephone_number": "860-479-1735"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CREATIVE REFLECTIONS COUNSELING CENTER, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-02-29",
        "last_updated": "2015-06-18",
        "status": "A",
        "authorized_official_last_name": "MULROONEY",
        "authorized_official_first_name": "AMY",
        "authorized_official_middle_name": "LYNNE",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "860-479-1735",
        "authorized_official_credential": "LPC"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor, Professional",
            "state": "CT",
            "license": "001730",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Core Principles
• George J Costanzo, D.C.
• Debra Innes Coyle, APRN
• Craig M Bogdanski DO & Associates, P.C.
• Fiorella Crape, LAC.
• Kelly Danielle Crowe, MT-BC
• John Wayman Crowell, DMD
• CSM Care
• CT Rehabilitation & Spasticity Care, LLC
• Mitchell Aaron Cunningham, DO

• Professional Counselor in Southington, CT
• Providers in Southington, CT by specialty
• Professional Counselor in Connecticut

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 18, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.