Provider Demographics
NPI:1912582198
Name:HARRIS & LONG CREATIVE ARTS THERAPY
Entity Type:Organization
Organization Name:HARRIS & LONG CREATIVE ARTS THERAPY
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:FOUNDER
Authorized Official - Prefix:DR
Authorized Official - First Name:KRISTIN
Authorized Official - Middle Name:
Authorized Official - Last Name:LONG
Authorized Official - Suffix:
Authorized Official - Credentials:DPSA, LCAT, LP
Authorized Official - Phone:646-425-4999
Mailing Address - Street 1:222 W 14TH ST APT 6C
Mailing Address - Street 2:
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10011-7208
Mailing Address - Country:US
Mailing Address - Phone:212-982-1065
Mailing Address - Fax:
Practice Address - Street 1:222 W 14TH ST APT 6C
Practice Address - Street 2:
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10011-7208
Practice Address - Country:US
Practice Address - Phone:212-982-1065
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-03-10
Last Update Date:2021-03-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes221700000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersArt TherapistGroup - Single Specialty