Provider Demographics
NPI:1013751858
Name:RESONATE MUSIC THERAPY LLC
Entity type:Organization
Organization Name:RESONATE MUSIC THERAPY LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:MARISSA
Authorized Official - Middle Name:
Authorized Official - Last Name:NEATHERY
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:719-492-5282
Mailing Address - Street 1:2906 BEACON ST
Mailing Address - Street 2:
Mailing Address - City:COLORADO SPRINGS
Mailing Address - State:CO
Mailing Address - Zip Code:80907-6192
Mailing Address - Country:US
Mailing Address - Phone:719-492-5282
Mailing Address - Fax:
Practice Address - Street 1:2906 BEACON ST
Practice Address - Street 2:
Practice Address - City:COLORADO SPRINGS
Practice Address - State:CO
Practice Address - Zip Code:80907-6192
Practice Address - Country:US
Practice Address - Phone:719-492-5282
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-06-25
Last Update Date:2024-11-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language PathologistGroup - Multi-Specialty