INDIGO ART CENTER INC NPI 1659973477

NPI Information

  • NPI: 1659973477
  • Provider Name: INDIGO ART CENTER INC
  • Classification: Clinic/Center - 261QD1600X
  • Specialization: Developmental Disabilities
  • Entity Type: Organization
  • Address: 4282 HERSCHEL ST
    JACKSONVILLE, FL
    ZIP 32210
  • Phone: (904) 520-4191

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NPI Details

INDIGO ART CENTER INC is a developmental disabilities clinic center in Jacksonville, FL. The provider is an entity, facility, or distinct part of a facility providing comprehensive, multidiscipline diagnostic, treatment, therapy, training, and counseling services to children with congenital disorders that precipitate developmental delays and in many instances mental deficiencies (e.g., Cerebral Palsy, metabolic disorders, Sturge-Weber Syndrome, etc.). INDIGO ART CENTER INC NPI is 1659973477. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

4282 HERSCHEL ST
JACKSONVILLE, FL
ZIP 32210-247
Phone: (904) 520-4191
Fax: (904) 441-6901

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

The enumeration date for this NPI number is 11/16/2020 and was last updated on 11/17/2020.

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
1221700000XArt TherapistNo
2225800000XRecreation TherapistNo
3261QD1600XClinic/CenterDevelopmental DisabilitiesYes

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: 11/21/2025

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