Indigo Art Therapy Studio Llc | |
1804 San Marco Pl Jacksonville FL 32207-3247 | |
(904) 520-4191 | |
(904) 441-6901 |
Full Name | Indigo Art Therapy Studio Llc |
---|---|
Speciality | Art Therapist |
Location | 1804 San Marco Pl, Jacksonville, Florida |
Authorized Official Name and Position | Kelly Elizabeth Desousa (ART THERAPIST, CO-OWNER) |
Authorized Official Contact | 9045204191 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Indigo Art Therapy Studio Llc 1804 San Marco Pl Jacksonville FL 32207-3247 Ph: (904) 520-4191 | Indigo Art Therapy Studio Llc 1804 San Marco Pl Jacksonville FL 32207-3247 Ph: (904) 520-4191 |
NPI Number | 1124790415 |
---|---|
Provider Enumeration Date | 10/04/2021 |
Last Update Date | 10/04/2021 |
Certification Date | 10/04/2021 |
Identifier | Type | State | Issuer |
---|---|---|---|
1124790415 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
101YM0800X | Counselor - Mental Health | (* (Not Available)) | Secondary |
221700000X | Art Therapist | (* (Not Available)) | Primary |
News Archive
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