Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
KELLY ELIZABETH DESOUSA, MS, ATR
ActiveArt Therapist · JACKSONVILLE, FL
Registration Details
- NPI Number
- 1124513106
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Jun 22, 2018 (7.8326904952188 yrs)
- Last Updated
- Nov 17, 2020
- License
-
15-056 (FL)
Practice Information
- Address
-
4282 HERSCHEL STJACKSONVILLE, FL, 322102247Browse FL providers · Browse ZIP 32210
- Phone
- 0944477797
- Primary Specialty
-
Art Therapist
221700000X
Other Art Therapist Providers in JACKSONVILLE, FL
| Name | Credential | NPI |
|---|---|---|
| DEVON SCHLEGEL | ATR-BC, LPC, LMHC | 1922540772 |
| SARAH ANNE BEAMAN | ATR-BC | 1730658402 |
| RAQUEL MYRA FARRELL-KIRK | ATR-BC | 1619567898 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.