Provider Demographics
NPI:1154896710
Name:ART THERAPY & CREATIVE COUNSELING LLC
Entity type:Organization
Organization Name:ART THERAPY & CREATIVE COUNSELING LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:LPC/ OWNER
Authorized Official - Prefix:
Authorized Official - First Name:HEATHER
Authorized Official - Middle Name:
Authorized Official - Last Name:BUSHEY
Authorized Official - Suffix:
Authorized Official - Credentials:LPC, NCC, ATR
Authorized Official - Phone:860-754-6234
Mailing Address - Street 1:180 WESTBROOK RD BLDG 3
Mailing Address - Street 2:
Mailing Address - City:ESSEX
Mailing Address - State:CT
Mailing Address - Zip Code:06426-1517
Mailing Address - Country:US
Mailing Address - Phone:860-754-6234
Mailing Address - Fax:
Practice Address - Street 1:180 WESTBROOK RD BLDG 3
Practice Address - Street 2:
Practice Address - City:ESSEX
Practice Address - State:CT
Practice Address - Zip Code:06426-1517
Practice Address - Country:US
Practice Address - Phone:860-754-6234
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2018-10-10
Last Update Date:2024-05-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessionalGroup - Multi-Specialty