Provider Demographics
NPI:1003636937
Name:WORLD UPSIDE DOWN ARTS STUDIO
Entity type:Organization
Organization Name:WORLD UPSIDE DOWN ARTS STUDIO
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:JOANNA
Authorized Official - Middle Name:
Authorized Official - Last Name:PUELLO
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:864-775-5514
Mailing Address - Street 1:1200 WOODRUFF RD STE H7
Mailing Address - Street 2:
Mailing Address - City:GREENVILLE
Mailing Address - State:SC
Mailing Address - Zip Code:29607-5787
Mailing Address - Country:US
Mailing Address - Phone:407-401-1568
Mailing Address - Fax:
Practice Address - Street 1:1200 WOODRUFF RD STE H7
Practice Address - Street 2:
Practice Address - City:GREENVILLE
Practice Address - State:SC
Practice Address - Zip Code:29607-5787
Practice Address - Country:US
Practice Address - Phone:407-401-1568
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-10-15
Last Update Date:2025-05-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes103K00000XBehavioral Health & Social Service ProvidersBehavior AnalystGroup - Multi-Specialty
No261QM1300XAmbulatory Health Care FacilitiesClinic/CenterMulti-Specialty