| Hidden Grove Art Therapy Llc | |
|
118 Amity Ave Old Forge PA 18518-1019 | |
| (570) 905-0669 | |
| Not Available |
| Full Name | Hidden Grove Art Therapy Llc |
|---|---|
| Speciality | Counselor - Professional |
| Location | 118 Amity Ave, Old Forge, Pennsylvania |
| Authorized Official Name and Position | Jackalynn Lee Wilson (OWNER/THERAPIST) |
| Authorized Official Contact | 5708710046 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Hidden Grove Art Therapy Llc 118 Amity Ave Old Forge PA 18518-1019 Ph: (570) 905-0669 | Hidden Grove Art Therapy Llc 118 Amity Ave Old Forge PA 18518-1019 Ph: (570) 905-0669 |
| NPI Number | 1700739935 |
|---|---|
| Provider Enumeration Date | 02/17/2026 |
| Last Update Date | 02/17/2026 |
| Certification Date | 02/17/2026 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1700739935 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YP2500X | Counselor - Professional | (* (Not Available)) | Primary |
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