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Active NPI 1316636400 Organization (Entity Type 2)

Ezer Art Studio Llc

Art Therapist • Bothell, WA

About Ezer Art Studio Llc NPI 1316636400 Summary

Ezer Art Studio Llc is a verified healthcare organization specializing in Art Therapist operating in Bothell, WA. Located at 17806 30TH DR SE, this facility provides patient care and medical services under National Provider Identifier (NPI) 1316636400.

Administrative operations and authorized compliance are overseen by Hyunmi Kim (Executor).

The facility is associated with 1 linked healthcare practitioner providing clinical services.

Facility Location & Contact Primary Location

Facility Address

17806 30th Dr Se

Bothell, WA 980126654

Telephone 2063555338

Authorized Official Information

Authorized Contact Name

MRS. Hyunmi Kim

Title / Role

Executor

Official Telephone

2063555338

Facility Classifications & Specialties

Art Therapist Primary Taxonomy

NUCC Taxonomy Code: 221700000X

(1) An individual who uses art to achieve the therapeutic goals of symptom relief, emotional integration, and recovery from or adjustment to illness or disability. (2) An art therapist uses a form of treatment that enables patients with mental or physical disabilities to use art as a way of expressing and dealing with feelings and inner conflicts. (3) An individual who uses arts modalities and creative processes during intentional intervention in therapeutic, rehabilitative, community, or educational settings to foster health, communication, and expression; promote the integration of physical, emotional, cognitive, and social functioning; enhance self-awareness; and facilitate change.

Affiliated Practitioners & Clinicians

Healthcare professionals and specialists practicing at this facility or affiliated group locations

1 Linked
Hyunmi Kim NPI 1760184048

Art Therapist

Bothell, WA

View Practitioner Profile →

Facility & Registry History Timeline

Chronological log of verified NPI organization updates, branch relocations, and registry updates

6 Historical Events
NPI Profile Active May 04, 2023

NPI status registered as active in NPPES database

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Updated Practice Location May 04, 2023

Registered at 17806 30TH DR SE, BOTHELL, WA 980126654 (Tel: 2063555338)

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Updated Business Mailing Address May 04, 2023

Registered at 17806 30TH DR SE, BOTHELL, WA 980126654

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Organization / Clinic Name Updated May 04, 2023

Operating as EZER ART STUDIO LLC

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Medical Taxonomy / Specialty Registered (Primary Specialty) May 04, 2023

Art Therapist

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Initial NPI Registration & Enumeration May 04, 2023

First registered as active Healthcare Organization in NPPES Database.

Patient & Community Reviews

Verified patient ratings, healthcare experiences, and facility photos

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NPI Organization Metadata

NPI Number: 1316636400
Entity Type:
Organization Organization (Hospital, Clinic, Group Practice) (Type 2 NPI)
Enumeration Date: May 04, 2023
Last Update: May 04, 2023

Mailing Address

17806 30th Dr Se

Bothell, WA 980126654

Public Domain Record This organization profile is sourced from public domain datasets published by CMS and NPPES under FOIA.
⚠️ Medical Disclaimer

Facility details are provided for public information only. In case of a medical emergency, call 911 immediately.