Healthcare Provider Details

I. General information

NPI: 1922249341
Provider Name (Legal Business Name): THE HEALING AND CREATIVE ARTS CENTER, INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 03/14/2009
Last Update Date: 01/19/2022
Certification Date: 01/19/2022
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1660 CYPRESS DRIVE SUITE 1 & 3
JUPITER FL
33469
US

IV. Provider business mailing address

1660 CYPRESS DRIVE SUITE 1 & 3
JUPITER FL
33469
US

V. Phone/Fax

Practice location:
  • Phone: 561-373-4697
  • Fax: 561-741-2117
Mailing address:
  • Phone: 561-373-4697
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101Y00000X
TaxonomyCounselor
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code106H00000X
TaxonomyMarriage & Family Therapist
License Number
License Number State

VIII. Authorized Official

Name: MAUREEN LANSAT
Title or Position: EXECUTIVE DIRECTOR
Credential: MA LMHC
Phone: 561-373-4697