Provider Demographics
NPI:1528778263
Name:EMPOWER MUSIC THERAPY LLC
Entity type:Organization
Organization Name:EMPOWER MUSIC THERAPY LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DIRECTOR
Authorized Official - Prefix:
Authorized Official - First Name:KATE
Authorized Official - Middle Name:FRANCES
Authorized Official - Last Name:KELLY
Authorized Official - Suffix:
Authorized Official - Credentials:MT-BC
Authorized Official - Phone:251-487-0525
Mailing Address - Street 1:810 DOMINICAN DR STE 321
Mailing Address - Street 2:
Mailing Address - City:NASHVILLE
Mailing Address - State:TN
Mailing Address - Zip Code:37228-1906
Mailing Address - Country:US
Mailing Address - Phone:251-487-0525
Mailing Address - Fax:
Practice Address - Street 1:810 DOMINICAN DR STE 320
Practice Address - Street 2:
Practice Address - City:NASHVILLE
Practice Address - State:TN
Practice Address - Zip Code:37228-1906
Practice Address - Country:US
Practice Address - Phone:251-487-0525
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-12-05
Last Update Date:2022-12-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes225A00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersMusic TherapistGroup - Single Specialty