Organization
INTUITIVE CREATIVE ARTS THERAPY PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LESLIE MARIE PORTILLO MA, LCAT, ATR-BC (OWNER)
(516) 513-9313
Entity
Organization
Contact information
Practice address
92 BROADWAY STE 200, GREENLAWN, NY 11740-1328
(516) 513-9313
Mailing address
PO BOX 12, HUNTINGTON, NY 11743-0012
Taxonomy
Speciality
Code
Description
License number
State
221700000X
Art Therapist
Primary
—
—
Other
Enumeration date
10/10/2024
Last updated
10/10/2024
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