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Contact Information

EXPRESSIVE THERAPIES LLC
245 N METRO DR
APPLETON, WI54913-8572
 Phone: 920-903-1009
 Fax: 800-791-3601
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Clinical

1041C0700X 80 Licensed Clinical Social Worker
 

Art Therapist

221700000X
 

Music Therapist

225A00000X
 

Professional

101YP2500X
Indicates primary specialty

NPI Profile & details for EXPRESSIVE THERAPIES LLC

NPI Number 1225439326
LBN Legal business name EXPRESSIVE THERAPIES LLC
Authorized official SARA DEVINE - (CEO)
Entity Organization
Organization subpart 1 No
Enumeration date 09/08/2014
Last updated 03/13/2025 - More than a year ago
Identifiers n/a
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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