Spirited Away Art Therapy, LLC

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

MH11228 Issued in FL

Legal business name

SPIRITED AWAY ART THERAPY, LLC

Practice address

1505 Tamiami TRL S Ste 402
Venice, FL 34285-5563

Phone

(941) 882-0590

NPI assigned

Feb 21, 2013

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Mrs. Lisa RW Richardson, LMHC, LPCNPI 1477019974

Title

LMHC, Art Therapist

Phone

(941) 882-0590

Specialties & licenses 5

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Lisa R Richardson, LMHC, LPC, NBCC

  • Mental Health Counselor
  • Venice, FL
  • NPI 1477019974
  NPD Authorized official

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1361404800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1566777600000",
    "number": "1205176609",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1607 LARCHWOOD DR",
            "city": "VENICE",
            "state": "FL",
            "postal_code": "342931016",
            "telephone_number": "941-296-5759"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1505 TAMIAMI TRL S STE 402",
            "city": "VENICE",
            "state": "FL",
            "postal_code": "342855563",
            "telephone_number": "941-882-0590"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SPIRITED AWAY ART THERAPY, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-02-21",
        "last_updated": "2019-08-26",
        "status": "A",
        "authorized_official_last_name": "RICHARDSON",
        "authorized_official_first_name": "LISA",
        "authorized_official_middle_name": "RW",
        "authorized_official_title_or_position": "LMHC, ART THERAPIST",
        "authorized_official_telephone_number": "941-882-0590",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "LMHC, LPC"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Counselor, Mental Health",
            "state": "FL",
            "license": "MH11228",
            "primary": true
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Counselor, Professional",
            "state": "FL",
            "license": "MH11228",
            "primary": false
        },
        {
            "code": "221700000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Art Therapist",
            "state": "FL",
            "license": "MH11228",
            "primary": false
        },
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "FL",
            "license": null,
            "primary": false
        },
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "CT",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Holly Angelina Spinks, RN
• Ange D Sprunger, BCBA
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• Daniel C. Stanley, OTR, CHT, MPA
• Star Healthcare LLC
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• Mental Health Counselor in Venice, FL
• Providers in Venice, FL by specialty
• Mental Health Counselor in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 26, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.