Provider Demographics
NPI:1578902318
Name:HEARTLAND MUSIC THERAPY SERVICES, LLC
Entity Type:Organization
Organization Name:HEARTLAND MUSIC THERAPY SERVICES, LLC
Other - Org Name:HEARTLAND MUSIC THERAPY LEARNING CENTER ALPHA BELL MUSIC SERVICE
Other - Org Type:Doing Business As
Authorized Official - Title/Position:DIRECTOR & MUSIC THERAPIST
Authorized Official - Prefix:MRS
Authorized Official - First Name:PATRICIA
Authorized Official - Middle Name:
Authorized Official - Last Name:WORMINGTON
Authorized Official - Suffix:
Authorized Official - Credentials:MMT, NMT
Authorized Official - Phone:307-213-0229
Mailing Address - Street 1:2236 GREEVER ST
Mailing Address - Street 2:
Mailing Address - City:CODY
Mailing Address - State:WY
Mailing Address - Zip Code:82414-9435
Mailing Address - Country:US
Mailing Address - Phone:307-213-0229
Mailing Address - Fax:
Practice Address - Street 1:2236 GREEVER ST
Practice Address - Street 2:
Practice Address - City:CODY
Practice Address - State:WY
Practice Address - Zip Code:82414-9435
Practice Address - Country:US
Practice Address - Phone:307-213-0229
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:HEARTLAND MUSIC THERAPY SERVICES, LLC
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2013-06-14
Last Update Date:2013-06-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes225A00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersMusic TherapistGroup - Multi-Specialty
No251C00000XAgenciesDay Training, Developmentally Disabled Services
No251S00000XAgenciesCommunity/Behavioral Health
No252Y00000XAgenciesEarly Intervention Provider AgencyGroup - Multi-Specialty