Provider Demographics
NPI:1053939926
Name:THE HOUSE OF MUSIC THERAPY, LLC
Entity type:Organization
Organization Name:THE HOUSE OF MUSIC THERAPY, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MANAGING PARTNER
Authorized Official - Prefix:
Authorized Official - First Name:CHRISTOPHER
Authorized Official - Middle Name:NEAL
Authorized Official - Last Name:HOWARD
Authorized Official - Suffix:
Authorized Official - Credentials:MBA
Authorized Official - Phone:337-384-8758
Mailing Address - Street 1:5576 SIX MILE COMMERCIAL CT APT 107
Mailing Address - Street 2:
Mailing Address - City:FORT MYERS
Mailing Address - State:FL
Mailing Address - Zip Code:33912-4496
Mailing Address - Country:US
Mailing Address - Phone:239-308-0424
Mailing Address - Fax:239-207-3442
Practice Address - Street 1:5576 SIX MILE COMMERCIAL CT APT 107
Practice Address - Street 2:
Practice Address - City:FORT MYERS
Practice Address - State:FL
Practice Address - Zip Code:33912-4496
Practice Address - Country:US
Practice Address - Phone:239-308-0424
Practice Address - Fax:239-207-3442
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-07-08
Last Update Date:2020-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes225A00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersMusic TherapistGroup - Single Specialty