Healthcare Provider Details

I. General information

NPI: 1700537636
Provider Name (Legal Business Name): HIGHER ART, LLC DBA WILD AND FREE PAINTING
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 01/12/2022
Last Update Date: 01/24/2022
Certification Date: 01/24/2022
Deactivation Date:
Reactivation Date:

III. Provider practice location address

660 TENNENT RD STE 106
MANALAPAN NJ
07726-3163
US

IV. Provider business mailing address

9 APPALOOSA DR
MANALAPAN NJ
07726-8867
US

V. Phone/Fax

Practice location:
  • Phone: 347-804-8249
  • Fax:
Mailing address:
  • Phone: 347-804-8249
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code221700000X
TaxonomyArt Therapist
License Number
License Number State

VIII. Authorized Official

Name: ELISSA ARBEITMAN
Title or Position: PSYCHOTHERAPIST/ART THERAPIST
Credential: ATR-BC, LPAT, LCAT
Phone: 347-804-8249