Healthcare Provider Details

I. General information

NPI: 1841025442
Provider Name (Legal Business Name): CHIRON ART THERAPY LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/04/2024
Last Update Date: 09/04/2024
Certification Date: 09/04/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1550 OLD HENDERSON RD STE N-142
COLUMBUS OH
43220-3626
US

IV. Provider business mailing address

1235 OLDE HENDERSON SQ
COLUMBUS OH
43220-3619
US

V. Phone/Fax

Practice location:
  • Phone: 614-800-9508
  • Fax:
Mailing address:
  • Phone: 614-800-9508
  • 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: MS. MAGGI DIANE COLWELL
Title or Position: OWNER
Credential: MS
Phone: 614-800-9508