Provider Demographics
NPI:1518185644
Name:THE CAROLINA CENTER FOR MUSIC THERAPY, LLC
Entity Type:Organization
Organization Name:THE CAROLINA CENTER FOR MUSIC THERAPY, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MUSIC THERAPIST
Authorized Official - Prefix:
Authorized Official - First Name:ANGIE
Authorized Official - Middle Name:K
Authorized Official - Last Name:HONG
Authorized Official - Suffix:
Authorized Official - Credentials:MT-BC
Authorized Official - Phone:919-323-0188
Mailing Address - Street 1:1414 COPPER CREEK DR
Mailing Address - Street 2:
Mailing Address - City:DURHAM
Mailing Address - State:NC
Mailing Address - Zip Code:27713-8214
Mailing Address - Country:US
Mailing Address - Phone:919-323-0188
Mailing Address - Fax:
Practice Address - Street 1:1414 COPPER CREEK DR
Practice Address - Street 2:
Practice Address - City:DURHAM
Practice Address - State:NC
Practice Address - Zip Code:27713-8214
Practice Address - Country:US
Practice Address - Phone:919-323-0188
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-04-23
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