Indigo Art Therapy Studio Llc

LBN: Indigo Art Therapy Studio Llc
Indigo Art Therapy Studio Llc is an health care organization with primary practice located at 1804 San Marco Pl , Jacksonville FL 32207-3247. The organization recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Mental Health, Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Art Therapist. Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Art Therapist is the primary health care specialty. Indigo Art Therapy Studio Llc can be contacted via phone (904) 520-4191, or through Desousa, Kelly Elizabeth via phone (904) 520-4191.

Contact Information

Primary practice address
1804 San Marco Pl Jacksonville FL 32207-3247
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
Behavioral Health & Social Service Providers / Mental Health 101YM0800X
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Art Therapist 221700000X

Profile Details

NPI number 1124790415
LBN Legal business name Indigo Art Therapy Studio Llc
DBA Doing business as
Authorized official Desousa, Kelly Elizabeth MS, ATR-BC
Entity Organization
Organization subpart 1 No
Enumeration date Oct 4th, 2021
Last updated Oct 4th, 2021 - about 3 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.

Request for update

Popular Providers