Provider Demographics
NPI:1457003378
Name:HEART AND HARMONY MUSIC THERAPY LLC
Entity Type:Organization
Organization Name:HEART AND HARMONY MUSIC THERAPY LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CLINICAL DIRECTOR
Authorized Official - Prefix:
Authorized Official - First Name:NICOLE
Authorized Official - Middle Name:BELSHE
Authorized Official - Last Name:LANZA
Authorized Official - Suffix:
Authorized Official - Credentials:MNLM, MT-BC
Authorized Official - Phone:817-458-8813
Mailing Address - Street 1:PO BOX 33913
Mailing Address - Street 2:
Mailing Address - City:FORT WORTH
Mailing Address - State:TX
Mailing Address - Zip Code:76162-3913
Mailing Address - Country:US
Mailing Address - Phone:817-458-8813
Mailing Address - Fax:
Practice Address - Street 1:6112 ED COADY RD
Practice Address - Street 2:
Practice Address - City:FORT WORTH
Practice Address - State:TX
Practice Address - Zip Code:76134-2505
Practice Address - Country:US
Practice Address - Phone:817-458-8813
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-01-21
Last Update Date:2022-01-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes225A00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersMusic TherapistGroup - Single Specialty