Provider Demographics
NPI:1366329807
Name:BRUSH & BLOOM ART THERAPY LLC
Entity type:Organization
Organization Name:BRUSH & BLOOM ART THERAPY LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ART THERAPIST
Authorized Official - Prefix:
Authorized Official - First Name:REBECCA
Authorized Official - Middle Name:LYNN
Authorized Official - Last Name:WEINBERGER
Authorized Official - Suffix:
Authorized Official - Credentials:MA, MAATC, LPC, ATR
Authorized Official - Phone:203-980-2569
Mailing Address - Street 1:175 STEVENSON RD
Mailing Address - Street 2:
Mailing Address - City:NEW HAVEN
Mailing Address - State:CT
Mailing Address - Zip Code:06515-2468
Mailing Address - Country:US
Mailing Address - Phone:203-980-2569
Mailing Address - Fax:
Practice Address - Street 1:175 STEVENSON RD
Practice Address - Street 2:
Practice Address - City:NEW HAVEN
Practice Address - State:CT
Practice Address - Zip Code:06515-2468
Practice Address - Country:US
Practice Address - Phone:203-980-2569
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-08-18
Last Update Date:2025-08-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QM0801XAmbulatory Health Care FacilitiesClinic/CenterMental Health (Including Community Mental Health Center)