Provider Demographics
NPI:1629575493
Name:TWIN CITIES MUSIC THERAPY SERVICES, LLC
Entity Type:Organization
Organization Name:TWIN CITIES MUSIC THERAPY SERVICES, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER, DIRECTOR OF MUSIC THER
Authorized Official - Prefix:
Authorized Official - First Name:LINDSAY
Authorized Official - Middle Name:
Authorized Official - Last Name:MARKWORTH
Authorized Official - Suffix:
Authorized Official - Credentials:MMT, MT-BC
Authorized Official - Phone:651-353-2903
Mailing Address - Street 1:3754 PLEASANT AVE # 227W
Mailing Address - Street 2:
Mailing Address - City:MINNEAPOLIS
Mailing Address - State:MN
Mailing Address - Zip Code:55409-1277
Mailing Address - Country:US
Mailing Address - Phone:651-353-2903
Mailing Address - Fax:
Practice Address - Street 1:3754 PLEASANT AVE # 227W
Practice Address - Street 2:
Practice Address - City:MINNEAPOLIS
Practice Address - State:MN
Practice Address - Zip Code:55409-1277
Practice Address - Country:US
Practice Address - Phone:651-353-2903
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2018-04-09
Last Update Date:2021-09-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MN225A00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes225A00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersMusic TherapistGroup - Single Specialty