Provider Demographics
NPI:1851795603
Name:CENTRAL OHIO MUSIC THERAPY
Entity Type:Organization
Organization Name:CENTRAL OHIO MUSIC THERAPY
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/DIRECTOR
Authorized Official - Prefix:
Authorized Official - First Name:ERIN
Authorized Official - Middle Name:KATHLEEN
Authorized Official - Last Name:SPRING
Authorized Official - Suffix:
Authorized Official - Credentials:MM, MT-BC
Authorized Official - Phone:740-248-9232
Mailing Address - Street 1:305 E FRANKLIN ST
Mailing Address - Street 2:
Mailing Address - City:CIRCLEVILLE
Mailing Address - State:OH
Mailing Address - Zip Code:43113-1832
Mailing Address - Country:US
Mailing Address - Phone:740-248-9232
Mailing Address - Fax:
Practice Address - Street 1:305 E FRANKLIN ST
Practice Address - Street 2:
Practice Address - City:CIRCLEVILLE
Practice Address - State:OH
Practice Address - Zip Code:43113-1832
Practice Address - Country:US
Practice Address - Phone:740-248-9232
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2014-10-21
Last Update Date:2014-10-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH08426251S00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251S00000XAgenciesCommunity/Behavioral Health