Provider Demographics
NPI:1194255778
Name:MENTAL HEALTH AND ART THERAPY SERVICES LLC
Entity type:Organization
Organization Name:MENTAL HEALTH AND ART THERAPY SERVICES LLC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:COUNSELOR, ART THERAPIST
Authorized Official - Prefix:MS
Authorized Official - First Name:NATASHA
Authorized Official - Middle Name:
Authorized Official - Last Name:NESIC
Authorized Official - Suffix:
Authorized Official - Credentials:LMHC, ATR
Authorized Official - Phone:786-333-9097
Mailing Address - Street 1:100 BAYVIEW DR APT 1528
Mailing Address - Street 2:
Mailing Address - City:SUNNY ISLES BEACH
Mailing Address - State:FL
Mailing Address - Zip Code:33160-5326
Mailing Address - Country:US
Mailing Address - Phone:786-333-0997
Mailing Address - Fax:
Practice Address - Street 1:100 BAYVIEW DR APT 1528
Practice Address - Street 2:
Practice Address - City:SUNNY ISLES BEACH
Practice Address - State:FL
Practice Address - Zip Code:33160-5326
Practice Address - Country:US
Practice Address - Phone:786-333-9097
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2017-06-15
Last Update Date:2024-01-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental HealthGroup - Multi-Specialty