Healthcare Provider Details

I. General information

NPI: 1215082201
Provider Name (Legal Business Name): MCKEE MUSIC THERAPY SERVICES LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 01/23/2007
Last Update Date: 08/22/2020
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1929 MAIN ST STE 103
IRVINE CA
92614-6524
US

IV. Provider business mailing address

320 PACIFIC ST APT 2
SANTA MONICA CA
90405-2338
US

V. Phone/Fax

Practice location:
  • Phone: 818-692-5073
  • Fax: 310-452-3530
Mailing address:
  • Phone: 818-692-5073
  • Fax: 310-452-3530

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225A00000X
TaxonomyMusic Therapist
License Number
License Number State

VIII. Authorized Official

Name: CHRISTINE RENEE' MCKEE
Title or Position: OWNER
Credential: MT-BC
Phone: 818-692-5073