Provider Demographics
NPI:1235640897
Name:NURTURING NOTES MUSIC THERAPY, INC
Entity Type:Organization
Organization Name:NURTURING NOTES MUSIC THERAPY, INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/DIRECTOR/MUSIC THERAPIST
Authorized Official - Prefix:MRS
Authorized Official - First Name:KENYA
Authorized Official - Middle Name:JANELLE
Authorized Official - Last Name:ENGRAM
Authorized Official - Suffix:
Authorized Official - Credentials:MMT, LPMT, MT-BC
Authorized Official - Phone:404-827-8794
Mailing Address - Street 1:2758 CLAIRE TER
Mailing Address - Street 2:
Mailing Address - City:DECATUR
Mailing Address - State:GA
Mailing Address - Zip Code:30032-4401
Mailing Address - Country:US
Mailing Address - Phone:404-827-8794
Mailing Address - Fax:
Practice Address - Street 1:2758 CLAIRE TER
Practice Address - Street 2:
Practice Address - City:DECATUR
Practice Address - State:GA
Practice Address - Zip Code:30032-4401
Practice Address - Country:US
Practice Address - Phone:404-827-8794
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2017-10-23
Last Update Date:2017-10-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GAMUT000066225A00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes225A00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersMusic TherapistGroup - Single Specialty