| Prestige Artistic Therapy Group Inc | |
|
2132 Central Florida Pkwy Orlando FL 32837-8978 | |
| (248) 470-5644 | |
| Not Available |
| Full Name | Prestige Artistic Therapy Group Inc |
|---|---|
| Speciality | Social Worker - Clinical |
| Location | 2132 Central Florida Pkwy, Orlando, Florida |
| Authorized Official Name and Position | Diane D King (OWNER) |
| Authorized Official Contact | 2484705644 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Prestige Artistic Therapy Group Inc 2167 15 Mile Rd Sterling Heights MI 48310-4820 Ph: (248) 470-5644 | Prestige Artistic Therapy Group Inc 2132 Central Florida Pkwy Orlando FL 32837-8978 Ph: (248) 470-5644 |
| NPI Number | 1790322295 |
|---|---|
| Provider Enumeration Date | 12/03/2019 |
| Last Update Date | 12/03/2019 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1790322295 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | (* (Not Available)) | Primary |
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