| Creative Art Therapies And Wellness | |
|
167 Dwight Rd Ste 104 Longmeadow MA 01106-1769 | |
| (413) 686-0031 | |
| Not Available |
| Full Name | Creative Art Therapies And Wellness |
|---|---|
| Speciality | Counselor |
| Location | 167 Dwight Rd Ste 104, Longmeadow, Massachusetts |
| Authorized Official Name and Position | Sarah Shube (SOLE MEMBER) |
| Authorized Official Contact | 4136860031 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Creative Art Therapies And Wellness 116 Normandy Rd Longmeadow MA 01106-1229 Ph: (413) 686-0031 | Creative Art Therapies And Wellness 167 Dwight Rd Ste 104 Longmeadow MA 01106-1769 Ph: (413) 686-0031 |
| NPI Number | 1164231973 |
|---|---|
| Provider Enumeration Date | 01/06/2025 |
| Last Update Date | 01/06/2025 |
| Certification Date | 01/06/2025 |
| Medicare PECOS PAC ID | 2961932538 |
|---|---|
| Medicare Enrollment ID | O20250212000413 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1164231973 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | (* (Not Available)) | Primary |
| Provider Name | Sarah Shube |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1467752576 PECOS PAC ID: 7810410032 Enrollment ID: I20250328001478 |
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