Organization
HIDDEN GROVE ART THERAPY LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JACKALYNN LEE WILSON (OWNER/THERAPIST)
(570) 871-0046
Entity
Organization
Contact information
Practice address
118 AMITY AVE, OLD FORGE, PA 18518-1019
(570) 905-0669
Mailing address
118 AMITY AVE, OLD FORGE, PA 18518-1019
(570) 905-0669
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
—
—
Other
Enumeration date
02/17/2026
Last updated
02/17/2026
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