Provider Demographics
NPI:1780492215
Name:KAPWA MUSIC THERAPY AND COUNSELING INC
Entity type:Organization
Organization Name:KAPWA MUSIC THERAPY AND COUNSELING INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:JOANNA
Authorized Official - Middle Name:
Authorized Official - Last Name:DEROSA
Authorized Official - Suffix:
Authorized Official - Credentials:LMHC
Authorized Official - Phone:407-720-6381
Mailing Address - Street 1:1137 EDGEWATER DR
Mailing Address - Street 2:
Mailing Address - City:ORLANDO
Mailing Address - State:FL
Mailing Address - Zip Code:32804-6306
Mailing Address - Country:US
Mailing Address - Phone:407-720-6381
Mailing Address - Fax:
Practice Address - Street 1:1137 EDGEWATER DR
Practice Address - Street 2:
Practice Address - City:ORLANDO
Practice Address - State:FL
Practice Address - Zip Code:32804-6306
Practice Address - Country:US
Practice Address - Phone:407-720-6381
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-12-30
Last Update Date:2024-12-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental HealthGroup - Single Specialty