ART AND SOUL ART THERAPY, LLC (NPI# 1124505425) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1124505425 |
| Entity Type | Organization |
| Organization Name | ART AND SOUL ART THERAPY, LLC |
| Practice Address |
149 Durham Rd Madison CT 06443-2677 |
| Mailing Address |
246 Durham Rd Madison CT 06443-2454 |
| Practice Telephone | 2033503717 |
| Mailing Telephone | 2033503717 |
| Enumeration Date | 2018-07-19 |
| Last Update Date | 2018-07-19 |
| Authorized Official Name | BRIANA BENN-MIRANDI (OWNER) |
| Authorized Official Telephone | 2033503717 |
| Authorized Official Credential | LPC |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YP2500X |
Counselor Specialization: Professional |
003496 | CT | Behavioral Health & Social Service Providers |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| Connecticut Business Registrations | ART AND SOUL ART THERAPY, LLC | 9 Polpis Ln, Guilford, CT 06437 |
| Street Address |
149 DURHAM RD |
| City | MADISON |
| State | CT |
| Zip Code | 06443-2677 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1487643789 | Donald Benjamin Weeks | Dentist | 149 Durham Rd, Suite 32, Madison, CT 06443-2677 | 2005-10-19 |
| 1992320741 | Paul Battles | Counselor | 149 Durham Rd, Madison, CT 06443-2677 | 2020-06-08 |
| 1740701101 | Artistic Healings | Counselor | 149 Durham Rd, Madison, CT 06443-2677 | 2017-07-06 |
| 1609249457 | Andrew Vogl | Behavioral Analyst | 149 Durham Rd, Madison, CT 06443-2677 | 2015-11-02 |
| 1871802900 | Robert Bruce Tross Md PC | Plastic Surgery | 149 Durham Rd, Suite 25, Madison, CT 06443-2677 | 2010-10-07 |
| 1609008408 | Jane Cavanaugh | Social Worker | 149 Durham Rd, Suite 31, Madison, CT 06443-2677 | 2009-08-13 |
| 1952433518 | Aaron James Egidio | Dentist | 149 Durham Rd, Madison, CT 06443-2677 | 2007-03-09 |
| 1538267596 | Laura Jean Kasprow | Social Worker | 149 Durham Rd, Suite 31, Madison, CT 06443-2677 | 2006-09-20 |
| 1124120357 | Claudette B Hauck | Social Worker | 149 Durham Rd, Suite 31, Madison, CT 06443-2677 | 2006-09-01 |
| 1346342490 | Mark Mcguinness | Social Worker | 149 Durham Rd, Suite 31, Madison, CT 06443-2677 | 2006-09-01 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1194127506 | Heather R. Clinton | Social Worker | 847 West Main Street, Suite 3, Branford, CT 06443 | 2014-09-17 |
| 1477973378 | Katrina Louise Furey | Psychiatry & Neurology | 147 Durham Rd Ste 12a-ne, Madison, CT 06443 | 2014-04-18 |
| 1972920114 | Elizabeth Laberee | Internal Medicine | 80 Devonshire Lane, Madison, CT 06443 | 2014-03-26 |
| 1588007314 | Avery Grauer | Psychiatry & Neurology | 175 Copse Road, Madison, CT 06443 | 2013-04-11 |
| 1295077790 | Gordon Seth Cohen | Pathology | 3 Silo Hill Road, Madison, CT 06443 | 2013-03-22 |
| 1073750493 | Darlene F. Talavera | Occupational Therapist | 22 Overshore Drive, Madison, CT 06443 | 2009-01-08 |
| 1013182518 | Susan Jean Isaac | Social Worker | 105 Winding Road, Unit 2, Madison, CT 06443 | 2008-04-25 |
| 1083893606 | Kornelia Keszler, Md, PC | Internal Medicine | 1-b Meigswood Ave, Madison, CT 06443 | 2007-10-31 |
| 1811181126 | Traci Marando | Nurse Practitioner | 20 Madrina Lane, Madison, CT 06443 | 2007-08-29 |
| 1790803419 | Linda L. Young | Social Worker | 2 Samson Rock Drive, Unit 2g, Madison, CT 06443 | 2007-03-27 |
| Find all providers in zip 06443 | ||||
| Taxonomy Code | 101YP2500X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Professional |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1619578770 | Sunshine Holstein | Counselor | 467 Main St Fl 4, Madison, WV 25130-2200 | 2020-11-05 |
| 1619589538 | Pamela Peoples | Counselor | 1888 Main St Ste C-189, Madison, MS 39110-6337 | 2020-08-21 |
| 1487278404 | Gillian Vandien | Counselor | 2701 International Ln Ste 205, Madison, WI 53704-3126 | 2020-06-05 |
| 1134740210 | Amy C Nicholson | Counselor | 720 Hill St Ste 230, Madison, WI 53705-3539 | 2020-04-30 |
| 1902435308 | Jeffrey Joseph Bopp | Counselor | 518 Diving Hawk Trl, Madison, WI 53713-3380 | 2020-04-07 |
| 1881222313 | Christopher Gabriel Krell | Counselor | 133 Se Macon St, Madison, FL 32340-2986 | 2020-03-30 |
| 1174153381 | Kristine Fernerud | Counselor | 77 Legend Hill Rd, Madison, CT 06443-1877 | 2020-01-16 |
| 1568008886 | Avery Reven Kansteiner | Counselor | 105 Ski Court, Madison, WI 53713 | 2019-11-21 |
| 1124661996 | Lillian A Carroll | Counselor | 502 Pflaum Rd, Madison, WI 53716-2163 | 2019-10-23 |
| 1700436466 | David R. Gosling | Counselor | 702 South High Point Road #209, Madison, WI 53719 | 2019-09-16 |
| Find all providers in MADISON | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.