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INDIGO ART THERAPY STUDIO LLC
NPI 1124790415
Art Therapist in Jacksonville, FL

Active since October 04, 2021
1804 SAN MARCO PL, JACKSONVILLE, FL 32207(904) 520-4191(904) 441-6901 Get Directions Write a Review

NPPES record last updated: October 4, 2021. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Indigo Art Therapy Studio Llc NPPES

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

INDIGO ART THERAPY STUDIO LLC (NPI 1124790415) is a healthcare organization registered as an art therapist in Jacksonville, Florida and active in the NPI registry since October 2021. The organization lists Kelly Elizabeth Desousa, Art Therapist, Co-owner, as its authorized official.

NPPES Registry Identity

NPI1124790415
Entity TypeOrganization
Primary Taxonomy221700000X
Legal Business NameINDIGO ART THERAPY STUDIO LLC
Location Address1804 SAN MARCO PLJacksonville, FL 32207-3247
Mailing Address1804 San Marco PlJacksonville, FL 32207-3247 · (904) 520-4191 · Fax (904) 441-6901
Phone(904) 520-4191
Fax(904) 441-6901
Organization SubpartNo
Authorized OfficialKelly Elizabeth DesousaArt Therapist, Co-owner · (904) 520-4191
Enumeration DateOctober 4, 2021
NPPES CertifiedOctober 4, 2021
✔ NPI 1124790415 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyArt TherapistRespiratory, Developmental, Rehabilitative and Restorative Service Providers
Taxonomy Code221700000X
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.
Also ListedCounselor · Mental HealthTaxonomy 101YM0800X
1804 SAN MARCO PL, Jacksonville, FL 32207
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Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Other Providers at the Same Location NPPES 2

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

ELIZABETH ANNE HOWARD
Counselor (Mental Health)
1804 SAN MARCO PL
JACKSONVILLE, FL 32207
Duval County (904) 900-1461
DEVON SCHLEGEL ATR-BC, LPC, LMHC
Art Therapist
1804 SAN MARCO PL
JACKSONVILLE, FL 32207
Duval County (301) 268-7701

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 Indigo Art Therapy Studio LLC's NPI number?

The NPI number for Indigo Art Therapy Studio LLC is 1124790415. It was assigned to this organization in the NPPES registry on October 4, 2021.

Where is Indigo Art Therapy Studio LLC located?

Indigo Art Therapy Studio LLC is located at 1804 San Marco Pl, Jacksonville, FL 32207. The listed phone number is (904) 520-4191.

What is Indigo Art Therapy Studio LLC'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 Indigo Art Therapy Studio LLC was last updated on October 4, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.