1467988857 NPI number — HOWARD'S MUSIC THERAPY & HEALING ARTS SERVICES, LLC

Table of content: (NPI 1467988857)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1467988857 NPI number — HOWARD'S MUSIC THERAPY & HEALING ARTS SERVICES, LLC

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
HOWARD'S MUSIC THERAPY & HEALING ARTS SERVICES, LLC
Provider Last Name:
Provider First Name:
Provider Middle Name:
Provider Name Prefix Text:
Provider Name Suffix Text:
Provider Credential Text:
Provider Gender Code:

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1467988857
Entity Type Code:
Organization
Replacement NPI:
Last Update Date:
05/04/2017
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
2425 14TH ST NW
Provider Second Line Business Mailing Address:
#204
Provider Business Mailing Address City Name:
WASHINGTON
Provider Business Mailing Address State Name:
DC
Provider Business Mailing Address Postal Code:
20009-4577
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
202-714-0219
Provider Business Mailing Address Fax Number:
202-621-8080

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
2425 14TH ST NW
Provider Second Line Business Practice Location Address:
#204
Provider Business Practice Location Address City Name:
WASHINGTON
Provider Business Practice Location Address State Name:
DC
Provider Business Practice Location Address Postal Code:
20009-4577
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
202-714-0219
Provider Business Practice Location Address Fax Number:
202-621-8080
Provider Enumeration Date:
05/04/2017

Additional Information

Authorized Official

Authorized Official Last Name:
HOWARD
Authorized Official First Name:
NAZEEHA
Authorized Official Middle Name:
Authorized Official Title or Position:
OWNER/MUSIC THERAPIST
Authorized Official Telephone Number:
202-714-0219

Provider Taxonomy Codes

  • Taxonomy code: 251C00000X , with the licence number:  400312901388 , registered in the state of DC ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)

  • Identifier: 070038500 , issued by the state of ( DC ) . This identifiers is of the category "MEDICAID".




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