Alexandra Brueckner Creative Arts LLC – Counselor

Key facts

NPI: 1376094623
Entity type: Organization (NPI type 2)
Primary specialty: Counselor 101Y00000X
License: 001261 (NY)
Legal business name: ALEXANDRA BRUECKNER CREATIVE ARTS LLC
Practice address: 395 West St
Harrison, NY 10528-2503
Phone: (914) 260-7784
NPI assigned: Oct 21, 2016
Organization subpart: No

Authorized official

Name: Miss Alexandra Brueckner, L.C.A.T.
Title: Owner
Phone: (914) 260-7784

Corporate family (same tax ID) 1

Organizations that report the same tax identification number in the National Provider Directory.

Alexandra Brueckner Creative Arts LLC Mental Health Counselor · Harrison, NY · NPI 1891182671

NPD tax ID

Practitioners 1

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

Alexandra Brueckner, LCAT Mental Health Counselor · Harrison, NY · NPI 1346561180

NPD (past)

National Provider Directory

Tax ID family: Alexandra Brueckner Creative Arts LLC (2 organizations share this tax ID)

Specialties & licenses

Specialty (taxonomy)	Code	License	State	Primary
Counselor Group: 193400000X SINGLE SPECIALTY GROUP	101Y00000X	001261	NY	Yes

Addresses

Primary practice location

395 West St
Harrison, NY 10528-2503

Mailing address

395 West St
Harrison, NY 10528-2503
Phone (914) 260-7784

Other providers in Harrison, NY

All providers in Harrison, NY · Counselor in New York

Sources for this page

NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Oct 21, 2016. 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.

Verify at the official NPI Registry.