Provider Demographics
NPI:1336851484
Name:HEALING IN HARMONY MUSIC THERAPY SERVICES, LLC
Entity Type:Organization
Organization Name:HEALING IN HARMONY MUSIC THERAPY SERVICES, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MUSIC THERAPIST
Authorized Official - Prefix:MISS
Authorized Official - First Name:HAILEY
Authorized Official - Middle Name:JO
Authorized Official - Last Name:MORK
Authorized Official - Suffix:
Authorized Official - Credentials:MT-BC
Authorized Official - Phone:320-226-3157
Mailing Address - Street 1:1102 RIDGEWAY DR
Mailing Address - Street 2:
Mailing Address - City:ALEXANDRIA
Mailing Address - State:MN
Mailing Address - Zip Code:56308-2315
Mailing Address - Country:US
Mailing Address - Phone:320-226-3157
Mailing Address - Fax:
Practice Address - Street 1:1102 RIDGEWAY DR
Practice Address - Street 2:
Practice Address - City:ALEXANDRIA
Practice Address - State:MN
Practice Address - Zip Code:56308-2315
Practice Address - Country:US
Practice Address - Phone:320-226-3157
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-12-20
Last Update Date:2022-12-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes225A00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersMusic TherapistGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
MN1326617135Medicaid