Healthcare Provider Details

I. General information

NPI: 1104283050
Provider Name (Legal Business Name): SOUND INSPIRATIONS MUSIC THERAPY, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 01/23/2016
Last Update Date: 01/23/2016
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

8600 TYLER BLVD #651
MENTOR OH
44060-4352
US

IV. Provider business mailing address

8600 TYLER BLVD #651
MENTOR OH
44060-4352
US

V. Phone/Fax

Practice location:
  • Phone: 440-290-9883
  • Fax:
Mailing address:
  • Phone: 440-290-9883
  • 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: LUCILLE BROWN
Title or Position: OWNER
Credential: MT-BC
Phone: 716-353-5959