Healthcare Provider Details

I. General information

NPI: 1063970986
Provider Name (Legal Business Name): GIVING SONG LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 03/10/2019
Last Update Date: 03/10/2019
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1621 TOWNE DR STE F
COLUMBIA MO
65202-3654
US

IV. Provider business mailing address

919B CANTERBURY DR
COLUMBIA MO
65203-2913
US

V. Phone/Fax

Practice location:
  • Phone: 309-221-3198
  • Fax:
Mailing address:
  • Phone: 309-221-3198
  • 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: KRISTIN NOEL VETETO
Title or Position: OWNER/MUSIC THERAPIST
Credential: MM, MT-BC
Phone: 309-221-3198