Provider Demographics
NPI:1558500231
Name:THERABEAT, INC.
Entity Type:Organization
Organization Name:THERABEAT, INC.
Other - Org Name:IN HARMONY PEDIATRIC THERAPY
Other - Org Type:Other Name
Authorized Official - Title/Position:MUSIC THERAPIST/DIRECTOR
Authorized Official - Prefix:MRS
Authorized Official - First Name:JENNIFER
Authorized Official - Middle Name:WALKER
Authorized Official - Last Name:PUCKETT
Authorized Official - Suffix:
Authorized Official - Credentials:MT-BC, NMT
Authorized Official - Phone:770-687-2542
Mailing Address - Street 1:9880 HICKORY FLAT HWY
Mailing Address - Street 2:
Mailing Address - City:WOODSTOCK
Mailing Address - State:GA
Mailing Address - Zip Code:30188-3081
Mailing Address - Country:US
Mailing Address - Phone:770-687-2542
Mailing Address - Fax:770-783-5049
Practice Address - Street 1:310 PAPER TRAIL WAY
Practice Address - Street 2:SUITE 302
Practice Address - City:CANTON
Practice Address - State:GA
Practice Address - Zip Code:30115-5203
Practice Address - Country:US
Practice Address - Phone:770-345-2804
Practice Address - Fax:678-827-0927
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-02-19
Last Update Date:2021-03-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GA07335261QR0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QR0400XAmbulatory Health Care FacilitiesClinic/CenterRehabilitation