Provider Demographics
NPI:1518043892
Name:NEUROSONG MUSIC THERAPY SERVICES, INC.
Entity Type:Organization
Organization Name:NEUROSONG MUSIC THERAPY SERVICES, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:KIMBERLY
Authorized Official - Middle Name:MARY
Authorized Official - Last Name:SENA MOORE
Authorized Official - Suffix:
Authorized Official - Credentials:MM, MT-BC, NMT
Authorized Official - Phone:970-988-5326
Mailing Address - Street 1:1327 HEARTHFIRE CT
Mailing Address - Street 2:
Mailing Address - City:FORT COLLINS
Mailing Address - State:CO
Mailing Address - Zip Code:80524-1782
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:1327 HEARTHFIRE CT
Practice Address - Street 2:
Practice Address - City:FORT COLLINS
Practice Address - State:CO
Practice Address - Zip Code:80524-1782
Practice Address - Country:US
Practice Address - Phone:970-988-5326
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-10-28
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