Healthcare Provider Details
I. General information
NPI: 1316717788
Provider Name (Legal Business Name): WHOLESOME HARMONIES, LLC
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 01/05/2024
Last Update Date: 01/05/2024
Certification Date: 01/05/2024
Deactivation Date:
Reactivation Date:
III. Provider practice location address
1181 WESTMINSTER AVE
HANOVER PA
17331-9701
US
IV. Provider business mailing address
7901 4TH ST N STE 300
ST PETERSBURG FL
33702-4399
US
V. Phone/Fax
- Phone: 717-632-4900
- Fax:
- Phone:
- Fax:
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 225A00000X |
| Taxonomy | Music Therapist |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name:
AMY
BUSER
Title or Position: OWNER
Credential: MT-BC
Phone: 305-349-3680