Provider Demographics
NPI:1902227572
Name:MUSIC JOURNEY, LLC
Entity Type:Organization
Organization Name:MUSIC JOURNEY, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MEMBER
Authorized Official - Prefix:
Authorized Official - First Name:AARON
Authorized Official - Middle Name:
Authorized Official - Last Name:TEAGUE
Authorized Official - Suffix:
Authorized Official - Credentials:MA, MT-BC, LPC
Authorized Official - Phone:412-761-0751
Mailing Address - Street 1:7115 CHURCH AVE
Mailing Address - Street 2:
Mailing Address - City:PITTSBURGH
Mailing Address - State:PA
Mailing Address - Zip Code:15202-1852
Mailing Address - Country:US
Mailing Address - Phone:412-761-0751
Mailing Address - Fax:412-766-5039
Practice Address - Street 1:7115 CHURCH AVE
Practice Address - Street 2:
Practice Address - City:PITTSBURGH
Practice Address - State:PA
Practice Address - Zip Code:15202-1852
Practice Address - Country:US
Practice Address - Phone:412-761-0751
Practice Address - Fax:412-766-5039
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2013-12-26
Last Update Date:2015-01-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessionalGroup - Multi-Specialty
No225A00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersMusic TherapistGroup - Multi-Specialty