NPI 1124790415

Indigo Art Therapy Studio LLC

Organisation Art Therapist Jacksonville, FL

Practice location

Address: 1804 San Marco Pl, Jacksonville, FL 32207-3247
Phone: (904) 520-4191
Fax: (904) 441-6901

Authorised official

Name: Kelly Elizabeth Desousa
Title: Art Therapist, Co-Owner
Phone: (904) 520-4191

Registered specialties (2)

Art Therapist Primary

Respiratory, Developmental, Rehabilitative and Restorative Service Providers Taxonomy 221700000X

Other Art Therapist providers in Florida →

Mental Health Counselor

Behavioral Health & Social Service Providers Taxonomy 101YM0800X

Other Counselor providers in Florida →

Registry record

NPI: 1124790415
Entity type: Organization
NPI issued: 4 Oct 2021
Record last updated: 4 Oct 2021

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.