Healthcare Provider Details

I. General information

NPI: 1104751254
Provider Name (Legal Business Name): ADAPTIVE CREATIVE ARTS THERAPY, PLLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/17/2026
Last Update Date: 06/17/2026
Certification Date: 06/17/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

499 SALLY RD
MINEOLA NY
11501-1126
US

IV. Provider business mailing address

499 SALLY RD
MINEOLA NY
11501-1126
US

V. Phone/Fax

Practice location:
  • Phone: 516-639-6212
  • Fax:
Mailing address:
  • Phone: 516-639-6212
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225A00000X
TaxonomyMusic Therapist
License Number
License Number State

VIII. Authorized Official

Name: FAITH MARAFINO
Title or Position: OWNER
Credential: MA, LCAT, MT-BC
Phone: 516-639-6212