Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Anncharlotte Tavolacci, LCAT, ATR-BC

Individual provider Art Therapist · NPI 1063035590

Anncharlotte Tavolacci, LCAT, ATR-BC is an Art Therapist in Port Jefferson Station, New York. Practices as a sole proprietor. Licensed in New York.

Licensed in
NY
In the registry since
2020

Practice location Address checks out

5225 Rte 347 Ste 44
Port Jefferson Station, NY 11776-2060
Phone: (631) 403-3318
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Art Therapist (primary) Taxonomy 221700000X · Licence 001864 (NY)

Record details

NPI number1063035590
Entity typeIndividual (Type 1)
GenderFemale
Credentials LCAT , ATR-BC
Sole proprietorYes
NPI enumeratedMay 19, 2020
Last updated in NPPESMay 19, 2020
Certification dateMay 19, 2020