Anastasia Babouchkina
Individual provider Active NPI Art Therapist · Bryn Mawr, PA
NPI 1104527787 · NPPES record last updated Mar 13, 2023
Key facts
- NPI
- 1104527787
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Art Therapist 221700000X
- Practice address
- 100 Chetwynd Dr Ste 201
Bryn Mawr, PA 19010-1453 - Phone
- (610) 233-9312
- NPI assigned
- Mar 13, 2023
- Sex
- Female
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Addiction (Substance Use Disorder) Counselor | 101YA0400X | |||
| Mental Health Counselor | 101YM0800X | |||
| School Counselor | 101YS0200X | |||
| Marriage & Family Therapist | 106H00000X | |||
| Art Therapist | 221700000X | Yes |
Addresses
Primary practice location
100 Chetwynd Dr Ste 201
Bryn Mawr, PA 19010-1453
Mailing address
124 Walnut St
King of Prussia, PA 19406-2534
Phone (610) 233-9312
Other providers in Bryn Mawr, PA
- Seth Jefferson Astorino
- Robert R Atkins
- Raymond B Attolino
- Abbe Bernstein Avart
- Maura Kristen Ayers
- Jane Back
- Peter C Badgio
- Marc D Baer
- Stephen K Baker
- Michael Baloga
All providers in Bryn Mawr, PA · Art Therapist in Pennsylvania
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Mar 13, 2023. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.