Provider Demographics
NPI:1952159931
Name:ART THERAPY AND WELLNESS
Entity type:Organization
Organization Name:ART THERAPY AND WELLNESS
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:TAHEREH
Authorized Official - Middle Name:NARGES
Authorized Official - Last Name:NADIM
Authorized Official - Suffix:
Authorized Official - Credentials:MHC
Authorized Official - Phone:617-780-7946
Mailing Address - Street 1:18142 S PARKVIEW DR APT 803
Mailing Address - Street 2:
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77084-4508
Mailing Address - Country:US
Mailing Address - Phone:617-780-7946
Mailing Address - Fax:
Practice Address - Street 1:18142 S PARKVIEW DR APT 803
Practice Address - Street 2:
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77084-4508
Practice Address - Country:US
Practice Address - Phone:617-780-7946
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-05-07
Last Update Date:2024-05-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental HealthGroup - Multi-Specialty