CREATIVE SPARK ART THERAPY LLC NPI 1184515306

NPI Information

  • NPI: 1184515306
  • Provider Name: CREATIVE SPARK ART THERAPY LLC
  • Classification: Clinic/Center - 261QM0801X
  • Specialization: Mental Health (Including Community Mental Health Center)
  • Entity Type: Organization
  • Address: 122 4TH AVE STE 200
    INDIALANTIC, FL
    ZIP 32903
  • Phone: (321) 327-3793

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NPI Details

CREATIVE SPARK ART THERAPY LLC is a mental health (including community mental health center) clinic center in Indialantic, FL. CREATIVE SPARK ART THERAPY LLC NPI is 1184515306. The provider is registered as an organization entity type.

The provider's business location address is:

122 4TH AVE STE 200
INDIALANTIC, FL
ZIP 32903-112
Phone: (321) 327-3793

The provider's authorized official is Jessica Termini .
The authorized official title is Owner/clinical Therapist and has the following contact phone number (321) 327-3793.

The enumeration date for this NPI number is 7/14/2025 and was last updated on 7/14/2025.

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 Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1261QM0801XClinic/CenterMental Health (Including Community Mental Health Center)Yes

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: 3/30/2025

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