Healthcare Provider Details

I. General information

NPI: 1679483630
Provider Name (Legal Business Name): TRUE WELLNESS MUSIC THERAPY
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/10/2026
Last Update Date: 09/10/2026
Certification Date: 09/10/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

999 SW 1ST AVE APT 2207
MIAMI FL
33130-3486
US

IV. Provider business mailing address

999 SW 1ST AVE APT 2207
MIAMI FL
33130-3486
US

V. Phone/Fax

Practice location:
  • Phone: 631-613-1756
  • 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: NICOLE MANGIONE
Title or Position: OWNER
Credential: MM, MT-BC
Phone: 631-513-1756