Healthcare Provider Details

I. General information

NPI: 1205790391
Provider Name (Legal Business Name): SOFT CLOUD MUSIC THERAPY, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 12/12/2025
Last Update Date: 12/12/2025
Certification Date: 12/12/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2136 LITTLE RIVER LN
TALLAHASSEE FL
32311-9485
US

IV. Provider business mailing address

2136 LITTLE RIVER LN
TALLAHASSEE FL
32311-9485
US

V. Phone/Fax

Practice location:
  • Phone: 850-270-0620
  • Fax:
Mailing address:
  • Phone: 850-270-0620
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code221700000X
TaxonomyArt Therapist
License Number
License Number State

VIII. Authorized Official

Name: ISABELLA CARVAJAL
Title or Position: CO-OWNER OF PRACTICE
Credential: MT-BC
Phone: 850-270-0620