Provider Demographics
NPI:1083776793
Name:MUSIC JOURNEY MUSIC THERAPY SERVICES OF THE HIGH COUNTRY, L.L.C.
Entity Type:Organization
Organization Name:MUSIC JOURNEY MUSIC THERAPY SERVICES OF THE HIGH COUNTRY, L.L.C.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MUSIC THERAPIST, MEMBER
Authorized Official - Prefix:MS
Authorized Official - First Name:NICOLE
Authorized Official - Middle Name:
Authorized Official - Last Name:HAHNA
Authorized Official - Suffix:
Authorized Official - Credentials:MS, MT-BC, FAMI
Authorized Official - Phone:828-964-6930
Mailing Address - Street 1:PO BOX 2923
Mailing Address - Street 2:
Mailing Address - City:BOONE
Mailing Address - State:NC
Mailing Address - Zip Code:28607-2923
Mailing Address - Country:US
Mailing Address - Phone:828-964-6930
Mailing Address - Fax:336-846-1316
Practice Address - Street 1:240 HIGHWAY 105 EXT
Practice Address - Street 2:SUITE 202
Practice Address - City:BOONE
Practice Address - State:NC
Practice Address - Zip Code:28607-4297
Practice Address - Country:US
Practice Address - Phone:828-964-6930
Practice Address - Fax:336-846-1316
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-12-16
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes225A00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersMusic TherapistGroup - Single Specialty