Healthcare Provider Details

I. General information

NPI: 1083952428
Provider Name (Legal Business Name): MUSIC THERAPY SERVICES, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 01/18/2013
Last Update Date: 09/19/2015
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

8447 BEECHMONT AVE
CINCINNATI OH
45255-4743
US

IV. Provider business mailing address

8447 BEECHMONT AVE
CINCINNATI OH
45255-4743
US

V. Phone/Fax

Practice location:
  • Phone: 513-474-6064
  • Fax: 513-474-0379
Mailing address:
  • Phone: 513-474-6064
  • Fax: 513-474-0379

VI. Provider taxonomy

Scope of Practice (Provider specialty)

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

VIII. Authorized Official

Name: MEGAN BREWER
Title or Position: OWNER
Credential: MT-BC
Phone: 513-474-6064