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NPI Code Detail

MEDICARE: THE HOUSE OF MUSIC THERAPY, LLC

MEDICARE: THE HOUSE OF MUSIC THERAPY, LLC
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1225A00000XMusic Therapist

General Provider Information

NPI Number : 1053939926
Entity Type Code : Organization
Provider Name (Legal Business Name) : THE HOUSE OF MUSIC THERAPY, LLC
Provider Business Mailing Address
First Line : 5576 SIX MILE COMMERCIAL CT APT 107
Second Line :
City : FORT MYERS
State : FL
Zip : 33912-4496
Country : US
Telephone Number : 239-308-0424
Fax Number : 239-207-3442
Provider Business Practice Location Address
First Line : 5576 SIX MILE COMMERCIAL CT APT 107
Second Line :
City : FORT MYERS
State : FL
Zip : 33912-4496
Country : US
Telephone Number : 239-308-0424
Fax Number : 239-207-3442
Authorized Official
Title or Position : MANAGING PARTNER
Name : CHRISTOPHER NEAL HOWARD
Credential : MBA
Telephone Number : 337-384-8758
Provider Enumeration Date : 07/08/2020
Last Update Date : 07/08/2020

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Directions to “THE HOUSE OF MUSIC THERAPY, LLC ” Practice Location

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