Provider Demographics
NPI:1922431279
Name:LIFE'S JOURNEY CREATIVE ARTSTHERAPY
Entity Type:Organization
Organization Name:LIFE'S JOURNEY CREATIVE ARTSTHERAPY
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:EXECUTIVE DIRECTOR
Authorized Official - Prefix:MS
Authorized Official - First Name:EILEEN
Authorized Official - Middle Name:
Authorized Official - Last Name:DRUCKENMILLER
Authorized Official - Suffix:
Authorized Official - Credentials:ATR-BC, LCAT
Authorized Official - Phone:518-256-2368
Mailing Address - Street 1:PO BOX 212
Mailing Address - Street 2:
Mailing Address - City:HOOSICK FALLS
Mailing Address - State:NY
Mailing Address - Zip Code:12090-0212
Mailing Address - Country:US
Mailing Address - Phone:518-256-2368
Mailing Address - Fax:
Practice Address - Street 1:80 CHURCH ST
Practice Address - Street 2:2ND FLOOR
Practice Address - City:HOOSICK FALLS
Practice Address - State:NY
Practice Address - Zip Code:12090-1902
Practice Address - Country:US
Practice Address - Phone:518-256-2368
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2013-08-09
Last Update Date:2013-08-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY001656-1101Y00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101Y00000XBehavioral Health & Social Service ProvidersCounselorGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY001656-1OtherCREATIVE ARTS THERAPY LICENSE (LCAT) FOR EILEEN DRUCKENMILLER
1275979049OtherINDIVIDUAL NPI FOR EILEEN DRUCKENMILLER