Healthcare Provider Details

I. General information

NPI: 1740155746
Provider Name (Legal Business Name): PROSPECT MUSIC THERAPY LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 10/08/2025
Last Update Date: 10/08/2025
Certification Date: 10/08/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

657 E GOLF RD STE 301
ARLINGTON HEIGHTS IL
60005-4071
US

IV. Provider business mailing address

657 E GOLF RD STE 301
ARLINGTON HEIGHTS IL
60005-4071
US

V. Phone/Fax

Practice location:
  • Phone: 847-580-3443
  • Fax:
Mailing address:
  • Phone: 847-580-3443
  • 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: LOREN ANN GOODMAN
Title or Position: CEO
Credential: MA, LPMT, MT-BC
Phone: 224-628-8723