Provider Demographics
NPI:1225884190
Name:GLOBAL HEALING CREATIVE ARTS THERAPY STUDIO
Entity type:Organization
Organization Name:GLOBAL HEALING CREATIVE ARTS THERAPY STUDIO
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRACTICTIONER
Authorized Official - Prefix:
Authorized Official - First Name:HAZEL
Authorized Official - Middle Name:
Authorized Official - Last Name:JAY
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:510-415-2089
Mailing Address - Street 1:6714 HIGHWAY 85 # A
Mailing Address - Street 2:
Mailing Address - City:RIVERDALE
Mailing Address - State:GA
Mailing Address - Zip Code:30274-2383
Mailing Address - Country:US
Mailing Address - Phone:510-415-2089
Mailing Address - Fax:
Practice Address - Street 1:6714 HIGHWAY 85 # A
Practice Address - Street 2:
Practice Address - City:RIVERDALE
Practice Address - State:GA
Practice Address - Zip Code:30274-2383
Practice Address - Country:US
Practice Address - Phone:510-415-2089
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:IGLOW CONSULTING FIRM, LLC
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2024-04-30
Last Update Date:2024-04-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YP1600XBehavioral Health & Social Service ProvidersCounselorPastoralGroup - Multi-Specialty
No251S00000XAgenciesCommunity/Behavioral Health