Provider Demographics
NPI:1790035186
Name:JONA LESAGE MALONEY
Entity Type:Organization
Organization Name:JONA LESAGE MALONEY
Other - Org Name:INFINITY MUSIC THERAPY SERVICES
Other - Org Type:Doing Business As
Authorized Official - Title/Position:DIRECTOR OF SERVICES
Authorized Official - Prefix:MRS
Authorized Official - First Name:JONA
Authorized Official - Middle Name:LEE
Authorized Official - Last Name:JEFFCOAT
Authorized Official - Suffix:
Authorized Official - Credentials:MT-BC
Authorized Official - Phone:860-518-5557
Mailing Address - Street 1:122 WINDSOR AVE
Mailing Address - Street 2:2ND FLOOR
Mailing Address - City:MERIDEN
Mailing Address - State:CT
Mailing Address - Zip Code:06451
Mailing Address - Country:US
Mailing Address - Phone:860-518-5557
Mailing Address - Fax:
Practice Address - Street 1:122 WINDSOR AVE
Practice Address - Street 2:2ND FLOOR
Practice Address - City:MERIDEN
Practice Address - State:CT
Practice Address - Zip Code:06451
Practice Address - Country:US
Practice Address - Phone:860-518-5557
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2012-09-13
Last Update Date:2012-11-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes225A00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersMusic TherapistGroup - Single Specialty