Provider Demographics
NPI:1083919757
Name:CONNECTICUT MUSIC THERAPY SERVICES, LLC
Entity Type:Organization
Organization Name:CONNECTICUT MUSIC THERAPY SERVICES, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:JENNIFER
Authorized Official - Middle Name:MARIE
Authorized Official - Last Name:SOKIRA
Authorized Official - Suffix:
Authorized Official - Credentials:MMT, LCAT, MT-BC
Authorized Official - Phone:203-394-3033
Mailing Address - Street 1:51 DEPOT ST.
Mailing Address - Street 2:SUITE 214
Mailing Address - City:WATERTOWN
Mailing Address - State:CT
Mailing Address - Zip Code:06795
Mailing Address - Country:US
Mailing Address - Phone:203-394-3033
Mailing Address - Fax:203-612-9207
Practice Address - Street 1:51 DEPOT ST.
Practice Address - Street 2:SUITE 214
Practice Address - City:WATERTOWN
Practice Address - State:CT
Practice Address - Zip Code:06795
Practice Address - Country:US
Practice Address - Phone:203-394-3033
Practice Address - Fax:203-612-9207
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-01-11
Last Update Date:2020-06-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes225A00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersMusic TherapistGroup - Multi-Specialty