Specialty |
Taxonomy Code | Specialty Code | Provider Type | |
Professional |
101YP2500X | |||
Art Therapist |
221700000X |
| NPI Number | 1598374688 |
||||
| LBN Legal business name | ARTISTIC WELLNESS, LLC | ||||
| Authorized official | LORENA ALVAREZ - (OWNER) | ||||
| Entity | Organization | ||||
| Organization subpart 1 | No | ||||
| Enumeration date | 07/24/2020 | ||||
| Last updated | 06/21/2024 - More than a year ago | ||||
| Identifiers |
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