Healthcare Provider Details

I. General information

NPI: 1548833585
Provider Name (Legal Business Name): NORTH AUSTIN MUSIC THERAPY
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/19/2021
Last Update Date: 07/19/2021
Certification Date: 07/19/2021
Deactivation Date:
Reactivation Date:

III. Provider practice location address

917 MOHICAN
ROUND ROCK TX
78665-1327
US

IV. Provider business mailing address

917 MOHICAN
ROUND ROCK TX
78665-1327
US

V. Phone/Fax

Practice location:
  • Phone: 512-422-9694
  • Fax:
Mailing address:
  • Phone: 512-422-9694
  • 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: MEREDITH HAMONS
Title or Position: FOUNDER AND CLINICAL DIRECTOR
Credential: MT-BC
Phone: 512-422-9694