Healthcare Provider Details

I. General information

NPI: 1629575493
Provider Name (Legal Business Name): TWIN CITIES MUSIC THERAPY SERVICES, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 04/09/2018
Last Update Date: 09/20/2021
Certification Date: 09/20/2021
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3754 PLEASANT AVE # 227W
MINNEAPOLIS MN
55409-1277
US

IV. Provider business mailing address

3754 PLEASANT AVE # 227W
MINNEAPOLIS MN
55409-1277
US

V. Phone/Fax

Practice location:
  • Phone: 651-353-2903
  • Fax:
Mailing address:
  • Phone: 651-353-2903
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225A00000X
TaxonomyMusic Therapist
License Number
License Number StateMN

VIII. Authorized Official

Name: LINDSAY MARKWORTH
Title or Position: OWNER, DIRECTOR OF MUSIC THER
Credential: MMT, MT-BC
Phone: 651-353-2903