Healthcare Provider Details

I. General information

NPI: 1073324976
Provider Name (Legal Business Name): MATTERS OF THE HEART CREATIVE ARTS THERAPY SERVICES, PLLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 01/20/2025
Last Update Date: 01/20/2025
Certification Date: 01/18/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

950 FRANKLIN AVE
GARDEN CITY NY
11530-2927
US

IV. Provider business mailing address

21 NORCROSS ST
ROCKVILLE CENTRE NY
11570-1926
US

V. Phone/Fax

Practice location:
  • Phone: 347-534-6671
  • Fax:
Mailing address:
  • Phone: 347-534-6671
  • 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: MRS. ELIZABETH CARNAVAL
Title or Position: SOLE MEMBER AND MANAGER
Credential: LCAT, ATR-BC
Phone: 347-534-6671