Provider Demographics
NPI:1770852824
Name:ARTISTRY OF WELLBEING
Entity Type:Organization
Organization Name:ARTISTRY OF WELLBEING
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MARRIAGE AND FAMILY THERAPIST
Authorized Official - Prefix:
Authorized Official - First Name:MARIANNE
Authorized Official - Middle Name:H
Authorized Official - Last Name:DONADEE
Authorized Official - Suffix:
Authorized Official - Credentials:LMFT
Authorized Official - Phone:909-596-5868
Mailing Address - Street 1:PO BOX 554
Mailing Address - Street 2:
Mailing Address - City:LA VERNE
Mailing Address - State:CA
Mailing Address - Zip Code:91750-0554
Mailing Address - Country:US
Mailing Address - Phone:909-596-5868
Mailing Address - Fax:
Practice Address - Street 1:2224 BLOSSOM LN
Practice Address - Street 2:
Practice Address - City:LA VERNE
Practice Address - State:CA
Practice Address - Zip Code:91750-5240
Practice Address - Country:US
Practice Address - Phone:909-596-5868
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-12-19
Last Update Date:2011-12-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAMFC46653251B00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251B00000XAgenciesCase Management