Provider Demographics
NPI:1740058395
Name:HEART COUNSELING SERVICES & ART THERAPY, PLLC
Entity type:Organization
Organization Name:HEART COUNSELING SERVICES & ART THERAPY, PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/THERAPIST
Authorized Official - Prefix:
Authorized Official - First Name:SARAH
Authorized Official - Middle Name:K
Authorized Official - Last Name:GRAY
Authorized Official - Suffix:
Authorized Official - Credentials:MS, MPH, LCAT, LPC,
Authorized Official - Phone:646-322-0598
Mailing Address - Street 1:5281 ROUTE 22
Mailing Address - Street 2:
Mailing Address - City:AMENIA
Mailing Address - State:NY
Mailing Address - Zip Code:12501-5347
Mailing Address - Country:US
Mailing Address - Phone:845-266-6111
Mailing Address - Fax:
Practice Address - Street 1:5281 ROUTE 22
Practice Address - Street 2:
Practice Address - City:AMENIA
Practice Address - State:NY
Practice Address - Zip Code:12501-5347
Practice Address - Country:US
Practice Address - Phone:845-266-6111
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-12-13
Last Update Date:2023-12-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes221700000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersArt TherapistGroup - Single Specialty