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INDIGO ART THERAPY STUDIO LLC NPI 1124790415


NPI Information

NPI: 1124790415
Provider Name: INDIGO ART THERAPY STUDIO LLC
Classification: Art Therapist - 221700000X
Entity Type: Organization
Address:
1804 SAN MARCO PL
JACKSONVILLE, FL
ZIP 32207
Phone: (904) 520-4191
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INDIGO ART THERAPY STUDIO LLC is an art therapist in Jacksonville, FL. The provider is (1) An individual who uses art to achieve the therapeutic goals of symptom relief, emotional integration, and recovery from or adjustment to illness or disability. (2) An art therapist uses a form of treatment that enables patients with mental or physical disabilities to use art as a way of expressing and dealing with feelings and inner conflicts. (3) An individual who uses arts modalities and creative processes during intentional intervention in therapeutic, rehabilitative, community, or educational settings to foster health, communication, and expression; promote the integration of physical, emotional, cognitive, and social functioning; enhance self-awareness; and facilitate change. INDIGO ART THERAPY STUDIO LLC NPI is 1124790415. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

1804 SAN MARCO PL
JACKSONVILLE, FL
ZIP 32207-247
Phone: (904) 520-4191
Fax: (904) 441-6901

The provider's authorized official is Kelly Elizabeth Desousa .
The authorized official title is Art Therapist, Co-owner and has the following contact phone number (904) 520-4191.

The enumeration date for this NPI number is 10/4/2021 and was last updated on 10/4/2021.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1101YM0800XCounselorMental HealthNo
2221700000XArt TherapistYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

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