Provider Demographics
NPI:1902621311
Name:X THERAPY ART AND MUSIC INC
Entity type:Organization
Organization Name:X THERAPY ART AND MUSIC INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:OXANA
Authorized Official - Middle Name:
Authorized Official - Last Name:GARKAVCHENKO
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:786-486-6766
Mailing Address - Street 1:8550 W FLAGLER ST STE 113
Mailing Address - Street 2:
Mailing Address - City:MIAMI
Mailing Address - State:FL
Mailing Address - Zip Code:33144-2037
Mailing Address - Country:US
Mailing Address - Phone:305-423-9805
Mailing Address - Fax:
Practice Address - Street 1:8550 W FLAGLER ST STE 113
Practice Address - Street 2:
Practice Address - City:MIAMI
Practice Address - State:FL
Practice Address - Zip Code:33144-2037
Practice Address - Country:US
Practice Address - Phone:305-423-9805
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-11-20
Last Update Date:2024-11-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental HealthGroup - Multi-Specialty