Provider Demographics
NPI:1467132779
Name:LIGHT IN THE ART CREATIVE ARTS THERAPY PLLC
Entity Type:Organization
Organization Name:LIGHT IN THE ART CREATIVE ARTS THERAPY PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/LEAD THERAPIST
Authorized Official - Prefix:
Authorized Official - First Name:ELAINE
Authorized Official - Middle Name:MARIE
Authorized Official - Last Name:MCCREARY
Authorized Official - Suffix:
Authorized Official - Credentials:LCAT-ATR-BC
Authorized Official - Phone:516-334-0174
Mailing Address - Street 1:31 W MINERVA RD
Mailing Address - Street 2:
Mailing Address - City:LINDENHURST
Mailing Address - State:NY
Mailing Address - Zip Code:11757-6627
Mailing Address - Country:US
Mailing Address - Phone:516-334-0174
Mailing Address - Fax:
Practice Address - Street 1:31 W MINERVA RD
Practice Address - Street 2:
Practice Address - City:LINDENHURST
Practice Address - State:NY
Practice Address - Zip Code:11757-6627
Practice Address - Country:US
Practice Address - Phone:516-334-0174
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-07-20
Last Update Date:2023-07-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes221700000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersArt TherapistGroup - Single Specialty