Provider Demographics
NPI:1730861881
Name:THE ART ROOM CENTER FOR CREATIVE HEALING LLC
Entity type:Organization
Organization Name:THE ART ROOM CENTER FOR CREATIVE HEALING LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CO-OWNER, ART THERAPIST
Authorized Official - Prefix:
Authorized Official - First Name:CLAIRE
Authorized Official - Middle Name:M
Authorized Official - Last Name:KALALA
Authorized Official - Suffix:
Authorized Official - Credentials:LCPAT, LCPC
Authorized Official - Phone:240-621-0733
Mailing Address - Street 1:19946 NATIONAL PIKE
Mailing Address - Street 2:
Mailing Address - City:HAGERSTOWN
Mailing Address - State:MD
Mailing Address - Zip Code:21740-1418
Mailing Address - Country:US
Mailing Address - Phone:202-505-2088
Mailing Address - Fax:
Practice Address - Street 1:19946 NATIONAL PIKE
Practice Address - Street 2:
Practice Address - City:HAGERSTOWN
Practice Address - State:MD
Practice Address - Zip Code:21740-1418
Practice Address - Country:US
Practice Address - Phone:202-505-2088
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-08-07
Last Update Date:2024-03-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessionalGroup - Single Specialty