Organization · Type 2 NPI

Spirited Away Art Therapy, LLC

Mental Health Counselor · Venice, FL

NPI number 1205176609 Active

Practice location

1505 Tamiami Trl S Ste 402
Venice, FL 34285-5563

Mailing address

1607 Larchwood Dr
Venice, FL 34293-1016

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor Primary 101YM0800XMH11228 (FL)
Professional Counselor 101YP2500XMH11228 (FL)
Art Therapist 221700000XMH11228 (FL)
Community/Behavioral Health Agency 251S00000XNone listed
Community/Behavioral Health Agency 251S00000XNone listed

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About NPI 1205176609

Spirited Away Art Therapy, LLC's National Provider Identifier is 1205176609, issued on Feb 21, 2013. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Venice, FL. The record was last updated on Aug 26, 2019.