Indigo Art Center Inc

LBN: Indigo Art Center Inc
Indigo Art Center Inc is an health care organization with primary practice located at 4282 Herschel St , Jacksonville FL 32210-2247. The organization recently has 3 registered licenses in different health care specialties including Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Art Therapist, Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Recreation Therapist, Ambulatory Health Care Facilities / Developmental Disabilities. Ambulatory Health Care Facilities / Developmental Disabilities is the primary health care specialty. Indigo Art Center Inc can be contacted via phone (904) 520-4191, or through Desousa, Kelly Elizabeth via phone (904) 520-4191.

Contact Information

Primary practice address
4282 Herschel St Jacksonville FL 32210-2247
Phone: (904) 520-4191
Fax: (904) 441-6901
Website:
Map and Directions
Authorized official contact:
Name: Desousa, Kelly Elizabeth MS, ATR-BC
Phone: (904) 520-4191

Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Art Therapist 221700000X
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Recreation Therapist 225800000X
Ambulatory Health Care Facilities / Developmental Disabilities 261QD1600X

Profile Details

NPI number 1659973477
LBN Legal business name Indigo Art Center Inc
DBA Doing business as
Authorized official Desousa, Kelly Elizabeth MS, ATR-BC
Entity Organization
Organization subpart 1 No
Enumeration date Nov 16th, 2020
Last updated Nov 17th, 2020 - about 5 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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