Healthcare Provider Details

I. General information

NPI: 1508778408
Provider Name (Legal Business Name): MUSIC WITH MALLORY LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/17/2026
Last Update Date: 09/17/2026
Certification Date: 09/17/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

100 CARR ST
LAKEWOOD CO
80226-1309
US

IV. Provider business mailing address

100 CARR ST
LAKEWOOD CO
80226-1309
US

V. Phone/Fax

Practice location:
  • Phone: 303-217-0046
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

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

VIII. Authorized Official

Name: MALLORY CONNORS
Title or Position: OWNER
Credential:
Phone: 303-217-0046