Organization · Type 2 NPI

Creative Spark Art Therapy LLC

Mental Health Clinic/Center (Including Community Mental Health Center) · Indialantic, FL

NPI number 1184515306 Active

Practice location

122 4th Ave Ste 200
Indialantic, FL 32903-3112

Mailing address

344 Meadowwood Ln
West Melbourne, FL 32904-3824

Specialties and licenses

TaxonomyCodeLicense
Mental Health Clinic/Center (Including Community Mental Health Center) Primary 261QM0801XNone listed

Mental Health Clinic/Center (Including Community Mental Health Center): Definition to come...

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About NPI 1184515306

Creative Spark Art Therapy LLC's National Provider Identifier is 1184515306, issued on Jul 14, 2025. The primary taxonomy on file is Mental Health Clinic/Center (Including Community Mental Health Center) (261QM0801X), and the practice location is in Indialantic, FL. The record was last updated on Jul 14, 2025.