Provider Demographics
NPI:1841025442
Name:CHIRON ART THERAPY LLC
Entity type:Organization
Organization Name:CHIRON ART THERAPY LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MS
Authorized Official - First Name:MAGGI
Authorized Official - Middle Name:DIANE
Authorized Official - Last Name:COLWELL
Authorized Official - Suffix:
Authorized Official - Credentials:MS
Authorized Official - Phone:614-800-9508
Mailing Address - Street 1:1235 OLDE HENDERSON SQ
Mailing Address - Street 2:
Mailing Address - City:COLUMBUS
Mailing Address - State:OH
Mailing Address - Zip Code:43220-3619
Mailing Address - Country:US
Mailing Address - Phone:614-800-9508
Mailing Address - Fax:
Practice Address - Street 1:1550 OLD HENDERSON RD STE N-142
Practice Address - Street 2:
Practice Address - City:COLUMBUS
Practice Address - State:OH
Practice Address - Zip Code:43220-3626
Practice Address - Country:US
Practice Address - Phone:614-800-9508
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-09-04
Last Update Date:2024-09-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes221700000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersArt TherapistGroup - Single Specialty