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General NPI Number Information
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NPI Number | 1073324976
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Entity Type | Organization
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Legal Business Name | MATTERS OF THE HEART CREATIVE ARTS THERAPY SERVICES, PLLC
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Dates
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Enumeration Date | 01/20/2025
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Last Update Date | 01/20/2025
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Provider Practice Location Address
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Address Line | 950 FRANKLIN AVE
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City | GARDEN CITY
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State | NY
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Zip | 11530-2927
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Country | US
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Telephone | 347-534-6671
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Fax |
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Provider Business Mailing Address
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Address Line | 21 NORCROSS ST
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City | ROCKVILLE CENTRE
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State | NY
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Zip | 11570-1926
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Country | US
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Telephone | 347-534-6671
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Fax |
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Authorized Official
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Title or Position | SOLE MEMBER AND MANAGER
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Name | MRS. ELIZABETH CARNAVAL
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Credential | LCAT, ATR-BC
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Telephone | 347-534-6671
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 221700000X
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Taxonomy Name | Art Therapist
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License Number |
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License Number State |
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