Healthcare Provider Details

I. General information

NPI: 1316558992
Provider Name (Legal Business Name): SONGS OF LIFE MUSIC THERAPY, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/16/2020
Last Update Date: 08/16/2020
Certification Date: 08/16/2020
Deactivation Date:
Reactivation Date:

III. Provider practice location address

9045 GREEN MEADOWS WAY
PALM BEACH GARDENS FL
33418-5741
US

IV. Provider business mailing address

9045 GREEN MEADOWS WAY
PALM BEACH GARDENS FL
33418-5741
US

V. Phone/Fax

Practice location:
  • Phone: 321-615-5029
  • Fax:
Mailing address:
  • Phone: 321-615-5029
  • 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: MS. RACHEL JENNIFER DAVIS
Title or Position: OWNER/MUSIC THERAPIST
Credential: MT-BC
Phone: 321-615-5029