Provider Demographics
NPI:1447918891
Name:HALLIGAN CREATIVE ARTS THERAPY
Entity type:Organization
Organization Name:HALLIGAN CREATIVE ARTS THERAPY
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MRS
Authorized Official - First Name:SHANNON
Authorized Official - Middle Name:M
Authorized Official - Last Name:HALLIGAN
Authorized Official - Suffix:
Authorized Official - Credentials:LCAT
Authorized Official - Phone:585-770-3233
Mailing Address - Street 1:215 ALEXANDER ST STE 200
Mailing Address - Street 2:
Mailing Address - City:ROCHESTER
Mailing Address - State:NY
Mailing Address - Zip Code:14607-4007
Mailing Address - Country:US
Mailing Address - Phone:585-770-3323
Mailing Address - Fax:
Practice Address - Street 1:215 ALEXANDER ST STE 200
Practice Address - Street 2:
Practice Address - City:ROCHESTER
Practice Address - State:NY
Practice Address - Zip Code:14607-4007
Practice Address - Country:US
Practice Address - Phone:585-770-3323
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-12-02
Last Update Date:2021-12-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes221700000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersArt TherapistGroup - Single Specialty