Healthcare Provider Details

I. General information

NPI: 1891232856
Provider Name (Legal Business Name): SIMPLE SOUNDS MUSIC THERAPY SERVICES
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 01/27/2017
Last Update Date: 01/27/2017
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

12233 W STANFORD DR
MORRISON CO
80465-1710
US

IV. Provider business mailing address

12233 W STANFORD DR
MORRISON CO
80465-1710
US

V. Phone/Fax

Practice location:
  • Phone: 720-394-6572
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225A00000X
TaxonomyMusic Therapist
License Number08538
License Number StateCO

VIII. Authorized Official

Name: LAURA GANGULI
Title or Position: MUSIC THERAPIST
Credential: MT-BC
Phone: 720-394-6572