Basic Information
| Provider Information | |||||||||
| NPI: | 1821727108 | ||||||||
| EntityType: | 2 | ||||||||
| ReplacementNPI: | |||||||||
| OrganizationName: | HEART TO ART EXPRESSIVE ARTS AND HOLISTIC TELETHERAPY | ||||||||
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| Mailing Information | |||||||||
| Address1: | 24 BRAMAN ST | ||||||||
| Address2: | |||||||||
| City: | PROVIDENCE | ||||||||
| State: | RI | ||||||||
| PostalCode: | 029063547 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 4015726154 | ||||||||
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| Practice Location | |||||||||
| Address1: | 24 BRAMAN ST | ||||||||
| Address2: | |||||||||
| City: | PROVIDENCE | ||||||||
| State: | RI | ||||||||
| PostalCode: | 029063547 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 4015726154 | ||||||||
| FaxNumber: | |||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 06/10/2022 | ||||||||
| LastUpdateDate: | 06/10/2022 | ||||||||
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| AuthorizedOfficialLastName: | TASSE | ||||||||
| AuthorizedOfficialFirstName: | LINDSAY | ||||||||
| AuthorizedOfficialMiddleName: | |||||||||
| AuthorizedOfficialTitleorPosition: | FOUNDER, THERAPIST | ||||||||
| AuthorizedOfficialTelephone: | 4015726154 | ||||||||
| IsSoleProprietor: | |||||||||
| IsOrganizationSubpart: | N | ||||||||
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| AuthorizedOfficialCredential: | LMFT | ||||||||
| NPICertificationDate: | 06/09/2022 | ||||||||
Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 101YM0800X | Y | 193400000X SINGLE SPECIALTY GROUP | Behavioral Health & Social Service Providers | Counselor | Mental Health |
No ID Information.