Provider Demographics
NPI:1164231973
Name:CREATIVE ART THERAPIES AND WELLNESS
Entity type:Organization
Organization Name:CREATIVE ART THERAPIES AND WELLNESS
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:SOLE MEMBER
Authorized Official - Prefix:
Authorized Official - First Name:SARAH
Authorized Official - Middle Name:
Authorized Official - Last Name:SHUBE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:413-686-0031
Mailing Address - Street 1:116 NORMANDY RD
Mailing Address - Street 2:
Mailing Address - City:LONGMEADOW
Mailing Address - State:MA
Mailing Address - Zip Code:01106-1229
Mailing Address - Country:US
Mailing Address - Phone:413-686-0031
Mailing Address - Fax:
Practice Address - Street 1:167 DWIGHT RD STE 104
Practice Address - Street 2:
Practice Address - City:LONGMEADOW
Practice Address - State:MA
Practice Address - Zip Code:01106-1769
Practice Address - Country:US
Practice Address - Phone:413-686-0031
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-01-06
Last Update Date:2025-01-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental HealthGroup - Single Specialty