Healthcare Provider Details

I. General information

NPI: 1851782536
Provider Name (Legal Business Name): LIFE IN HARMONY MUSIC THERAPY, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 02/17/2015
Last Update Date: 03/11/2021
Certification Date: 03/11/2021
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1537 HERITAGE BLVD
WEST SALEM WI
54669-9404
US

IV. Provider business mailing address

1537 HERITAGE BLVD
WEST SALEM WI
54669-9404
US

V. Phone/Fax

Practice location:
  • Phone: 608-799-4860
  • Fax: 414-377-3353
Mailing address:
  • Phone: 608-799-4860
  • Fax: 414-377-3353

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225A00000X
TaxonomyMusic Therapist
License Number08448
License Number State

VIII. Authorized Official

Name: MRS. AMY M SCHAACK
Title or Position: DIERCTOR & MUSIC THERAPIST
Credential: MT-BC
Phone: 608-304-7292