Healthcare Provider Details

I. General information

NPI: 1336851484
Provider Name (Legal Business Name): HEALING IN HARMONY MUSIC THERAPY SERVICES, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 12/20/2022
Last Update Date: 12/20/2022
Certification Date: 12/20/2022
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1102 RIDGEWAY DR
ALEXANDRIA MN
56308-2315
US

IV. Provider business mailing address

1102 RIDGEWAY DR
ALEXANDRIA MN
56308-2315
US

V. Phone/Fax

Practice location:
  • Phone: 320-226-3157
  • Fax:
Mailing address:
  • Phone: 320-226-3157
  • 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: MISS HAILEY JO MORK
Title or Position: MUSIC THERAPIST
Credential: MT-BC
Phone: 320-226-3157