MEDICARE: WHOLE STEPS CREATIVE ARTS CENTER 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
1	225A00000X	Music Therapist

General Provider Information

NPI Number	:	1922936467
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	WHOLE STEPS CREATIVE ARTS CENTER LLC

Provider Business Mailing Address
First Line	:	5302 S FLORIDA AVE STE 202
Second Line	:
City	:	LAKELAND
State	:	FL
Zip	:	33813-4910
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	5302 S FLORIDA AVE STE 202
Second Line	:
City	:	LAKELAND
State	:	FL
Zip	:	33813-4910
Country	:	US
Telephone Number	:	305-528-5836
Fax Number	:

Authorized Official
Title or Position	:	OWNER
Name	:	JILLIAN MEHLER
Credential	:	MM, MT-BC, NMT
Telephone Number	:	305-528-5836

Provider Enumeration Date	:	05/13/2026
Last Update Date	:	05/13/2026

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