Healthcare Provider Details

I. General information

NPI: 1295938488
Provider Name (Legal Business Name): MUSIC THERAPY IN ORLANDO, INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/06/2007
Last Update Date: 08/22/2020
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

729 MAYFAIR CIR
ORLANDO FL
32803-6628
US

IV. Provider business mailing address

729 MAYFAIR CIR
ORLANDO FL
32803-6628
US

V. Phone/Fax

Practice location:
  • Phone: 321-558-5423
  • Fax:
Mailing address:
  • Phone: 321-558-5423
  • 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: MICHELLE ERFURT
Title or Position: PRESIDENT
Credential: MT-BC
Phone: 321-558-5423