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KELLY ELIZABETH DESOUSA MS, ATR
NPI 1124513106
Art Therapist in Jacksonville, FL

Active since June 22, 2018
4282 HERSCHEL ST, JACKSONVILLE, FL 32210(094) 447-7797 Get Directions Write a Review

NPPES record last updated: November 17, 2020. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Nov 17, 2020, Jun 22, 2018 (2 updates tracked since 2018).

About Kelly Elizabeth Desousa Ms, Atr NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

KELLY ELIZABETH DESOUSA MS, ATR (NPI 1124513106) is an individual art therapist in Jacksonville, Florida, licensed in Florida (15-056) and active in the NPI registry since June 2018.

NPPES Registry Identity

NPI1124513106
Entity TypeIndividualFemale
Primary Taxonomy221700000X
Provider Legal NameKELLY ELIZABETH DESOUSACredential: MS, ATR
Location Address4282 HERSCHEL STJacksonville, FL 32210-2247
Mailing Address4282 Herschel StJacksonville, FL 32210-2247 · (094) 447-7797
Phone(094) 447-7797
Sole ProprietorNo
Enumeration DateJune 22, 2018
Last NPPES UpdateNovember 17, 20202 updates tracked since enumeration
NPPES CertifiedNovember 17, 2020
✔ NPI 1124513106 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyArt TherapistRespiratory, Developmental, Rehabilitative and Restorative Service Providers
Taxonomy Code221700000X
License✔ Licensed in FL · 15-056
Definition
(1) An individual who uses art to achieve the therapeutic goals of symptom relief, emotional integration, and recovery from or adjustment to illness or disability. (2) An art therapist uses a form of treatment that enables patients with mental or physical disabilities to use art as a way of expressing and dealing with feelings and inner conflicts. (3) An individual who uses arts modalities and creative processes during intentional intervention in therapeutic, rehabilitative, community, or educational settings to foster health, communication, and expression; promote the integration of physical, emotional, cognitive, and social functioning; enhance self-awareness; and facilitate change.
4282 HERSCHEL ST, Jacksonville, FL 32210
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Other Providers at the Same Location NPPES 3

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

MS. LAURIE MCKEE LMT
Specialist
4282 HERSCHEL ST
JACKSONVILLE, FL 32210
Duval County (904) 384-3453
INDIGO ART CENTER INC
Clinic/Center (Developmental Disabilities)
4282 HERSCHEL ST
JACKSONVILLE, FL 32210
Duval County (904) 520-4191
SARAH ANNE BEAMAN ATR-BC
Art Therapist
4282 HERSCHEL ST
JACKSONVILLE, FL 32210
Duval County (904) 520-4191

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Kelly Desousa's NPI number?

The NPI number for Kelly Desousa is 1124513106. It was assigned to this individual provider in the NPPES registry on June 22, 2018.

Where is Kelly Desousa located?

Kelly Desousa practices at 4282 Herschel St, Jacksonville, FL 32210. The listed phone number is (094) 447-7797.

What is Kelly Desousa's specialty?

The primary specialty registered for this NPI is Art Therapist with taxonomy code 221700000X.

When was this NPI record last updated?

The NPPES record for Kelly Desousa was last updated on November 17, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.