Provider Demographics
NPI:1083227334
Name:WHOLE HEART ART THERAPY & CREATIVE COUNSELING
Entity Type:Organization
Organization Name:WHOLE HEART ART THERAPY & CREATIVE COUNSELING
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:ASHLEY
Authorized Official - Middle Name:HINES
Authorized Official - Last Name:LUNT
Authorized Official - Suffix:
Authorized Official - Credentials:LPC
Authorized Official - Phone:203-533-2351
Mailing Address - Street 1:26 SEARS ST
Mailing Address - Street 2:
Mailing Address - City:MIDDLETOWN
Mailing Address - State:CT
Mailing Address - Zip Code:06457-4336
Mailing Address - Country:US
Mailing Address - Phone:203-816-7452
Mailing Address - Fax:
Practice Address - Street 1:955 S MAIN ST # B201
Practice Address - Street 2:
Practice Address - City:MIDDLETOWN
Practice Address - State:CT
Practice Address - Zip Code:06457-5153
Practice Address - Country:US
Practice Address - Phone:203-533-2351
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-08-26
Last Update Date:2024-01-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental HealthGroup - Single Specialty