NPI 1093572679

Beauregard Creative Arts Therapy PLLC

Organisation Drama Therapist New York, NY

Practice location

Address: 225 Broadway STE 2130, New York, NY 10007-3733
Phone: (917) 204-2846
Mailing address: 135 Coffey St APT 206c, Brooklyn, NY 11231-1055

Authorised official

Name: Mark Beauregard
Title: Founder/Sole Member
Phone: (917) 204-2846

Registered specialties

Drama Therapist Primary

Behavioral Health & Social Service Providers Taxonomy 101200000X

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Registry record

NPI: 1093572679
Entity type: Organization
NPI issued: 29 Feb 2024
Record last updated: 29 Feb 2024

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.