Healthcare Provider Details

I. General information

NPI: 1306513833
Provider Name (Legal Business Name): WORK OF ART ENTERPRISES
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/24/2021
Last Update Date: 08/24/2021
Certification Date: 08/24/2021
Deactivation Date:
Reactivation Date:

III. Provider practice location address

81 N SAN MARINO AVE STE 2
PASADENA CA
91107-3535
US

IV. Provider business mailing address

81 N SAN MARINO AVE STE 2
PASADENA CA
91107-3535
US

V. Phone/Fax

Practice location:
  • Phone: 562-212-0095
  • Fax:
Mailing address:
  • Phone: 562-212-0095
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code101YA0400X
TaxonomyAddiction (Substance Use Disorder) Counselor
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code101YS0200X
TaxonomySchool Counselor
License Number
License Number State
# 4
Primary TaxonomyY
Taxonomy Code101Y00000X
TaxonomyCounselor
License Number
License Number State

VIII. Authorized Official

Name: AARON R THOMAS
Title or Position: CEO/PRESIDENT
Credential: MS
Phone: 562-212-0095