Healthcare Provider Details

I. General information

NPI: 1033039300
Provider Name (Legal Business Name): PAINTED PATH ART THERAPY
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/17/2026
Last Update Date: 07/17/2026
Certification Date: 07/17/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1835 FOREST DR STE H
ANNAPOLIS MD
21401-4432
US

IV. Provider business mailing address

2481 FAIRWAY
DUNDALK MD
21222-3805
US

V. Phone/Fax

Practice location:
  • Phone: 443-781-6017
  • Fax:
Mailing address:
  • Phone: 443-781-6017
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code221700000X
TaxonomyArt Therapist
License Number
License Number State

VIII. Authorized Official

Name: ANGELA MENINGER
Title or Position: OWNER
Credential: LCPAT
Phone: 443-781-6017