Provider Demographics
NPI:1598574667
Name:INTEGRATIVE MUSIC PSYCHOTHERAPY AND COUNSELING
Entity type:Organization
Organization Name:INTEGRATIVE MUSIC PSYCHOTHERAPY AND COUNSELING
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CREATOR
Authorized Official - Prefix:
Authorized Official - First Name:LEAH
Authorized Official - Middle Name:
Authorized Official - Last Name:WHITMIRE
Authorized Official - Suffix:
Authorized Official - Credentials:MA, MT-BC, LMHC
Authorized Official - Phone:479-747-9346
Mailing Address - Street 1:5160 CARVEL AVE
Mailing Address - Street 2:
Mailing Address - City:INDIANAPOLIS
Mailing Address - State:IN
Mailing Address - Zip Code:46205-1273
Mailing Address - Country:US
Mailing Address - Phone:479-747-9346
Mailing Address - Fax:
Practice Address - Street 1:4201 MILLERSVILLE RD STE 204
Practice Address - Street 2:
Practice Address - City:INDIANAPOLIS
Practice Address - State:IN
Practice Address - Zip Code:46205-2987
Practice Address - Country:US
Practice Address - Phone:479-747-9346
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-01-03
Last Update Date:2025-01-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental HealthGroup - Multi-Specialty
No225A00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersMusic TherapistGroup - Multi-Specialty