Healthcare Provider Details

I. General information

NPI: 1902227572
Provider Name (Legal Business Name): MUSIC JOURNEY, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 12/26/2013
Last Update Date: 01/02/2015
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

7115 CHURCH AVE
PITTSBURGH PA
15202-1852
US

IV. Provider business mailing address

7115 CHURCH AVE
PITTSBURGH PA
15202-1852
US

V. Phone/Fax

Practice location:
  • Phone: 412-761-0751
  • Fax: 412-766-5039
Mailing address:
  • Phone: 412-761-0751
  • Fax: 412-766-5039

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code225A00000X
TaxonomyMusic Therapist
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code101YP2500X
TaxonomyProfessional Counselor
License Number
License Number State

VIII. Authorized Official

Name: AARON TEAGUE
Title or Position: MEMBER
Credential: MA, MT-BC, LPC
Phone: 412-761-0751