Provider Demographics
NPI:1164911251
Name:WYNDHAM MUSIC SOLUTIONS, INC.
Entity Type:Organization
Organization Name:WYNDHAM MUSIC SOLUTIONS, INC.
Other - Org Name:MUSIC THERAPY SOLUTIONS
Other - Org Type:Doing Business As
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:MS
Authorized Official - First Name:TIFFANY
Authorized Official - Middle Name:
Authorized Official - Last Name:WYNDHAM
Authorized Official - Suffix:
Authorized Official - Credentials:MT-BC
Authorized Official - Phone:760-707-3337
Mailing Address - Street 1:PO BOX 2551
Mailing Address - Street 2:
Mailing Address - City:FORNEY
Mailing Address - State:TX
Mailing Address - Zip Code:75126-2551
Mailing Address - Country:US
Mailing Address - Phone:760-707-3337
Mailing Address - Fax:
Practice Address - Street 1:1312 WARBLER DR
Practice Address - Street 2:
Practice Address - City:FORNEY
Practice Address - State:TX
Practice Address - Zip Code:75126-7756
Practice Address - Country:US
Practice Address - Phone:760-707-3337
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2018-05-04
Last Update Date:2018-05-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes225A00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersMusic TherapistGroup - Multi-Specialty