Provider Demographics
NPI:1972011492
Name:ON A CLOUD THERAPY
Entity Type:Organization
Organization Name:ON A CLOUD THERAPY
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DIRECTOR
Authorized Official - Prefix:DR
Authorized Official - First Name:ARTI
Authorized Official - Middle Name:M
Authorized Official - Last Name:ABRAMOVITZ
Authorized Official - Suffix:
Authorized Official - Credentials:LCPC PHD
Authorized Official - Phone:410-693-5693
Mailing Address - Street 1:848 N RAINBOW BLVD # 4818
Mailing Address - Street 2:
Mailing Address - City:LAS VEGAS
Mailing Address - State:NV
Mailing Address - Zip Code:89107-1103
Mailing Address - Country:US
Mailing Address - Phone:410-693-5693
Mailing Address - Fax:
Practice Address - Street 1:848 N RAINBOW BLVD # 4818
Practice Address - Street 2:
Practice Address - City:LAS VEGAS
Practice Address - State:NV
Practice Address - Zip Code:89107-1103
Practice Address - Country:US
Practice Address - Phone:410-693-5693
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2018-01-18
Last Update Date:2018-01-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MDLC4284103TA0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes103TA0400XBehavioral Health & Social Service ProvidersPsychologistAddiction (Substance Use Disorder)Group - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
MD714434Medicaid