Provider Demographics
NPI:1740095959
Name:BEYOND WORDS ART STUDIO, INC.
Entity type:Organization
Organization Name:BEYOND WORDS ART STUDIO, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:STACEY
Authorized Official - Middle Name:M
Authorized Official - Last Name:SUMMERS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:813-997-6103
Mailing Address - Street 1:5310 8TH ST
Mailing Address - Street 2:
Mailing Address - City:ZEPHYRHILLS
Mailing Address - State:FL
Mailing Address - Zip Code:33542-4309
Mailing Address - Country:US
Mailing Address - Phone:813-997-6103
Mailing Address - Fax:727-484-6812
Practice Address - Street 1:6630 EMBASSY BLVD STE B
Practice Address - Street 2:
Practice Address - City:PORT RICHEY
Practice Address - State:FL
Practice Address - Zip Code:34668-4898
Practice Address - Country:US
Practice Address - Phone:813-997-6103
Practice Address - Fax:727-484-6812
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-02-13
Last Update Date:2025-02-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes221700000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersArt TherapistGroup - Single Specialty