Upbeat Music Therapy
Organization Active NPI Music Therapist · St Johns, FL
NPI 1558049015 · NPPES record last updated Jul 6, 2023
Key facts
- NPI
- 1558049015
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Music Therapist 225A00000X
- Legal business name
- UPBEAT MUSIC THERAPY
- Practice address
- 1401 Archer CT
St Johns, FL 32259-3040 - Phone
- (904) 993-8940
- NPI assigned
- Jul 6, 2023
- Organization subpart
- No
Authorized official
- Name
- Mrs. Minda Kisber Gordon, MT-BC
- Title
- Owner
- Phone
- (904) 993-8940
National Provider Directory
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Music Therapist |
225A00000X | Yes |
Addresses
Primary practice location
1401 Archer CT
St Johns, FL 32259-3040
Mailing address
1401 Archer CT
St Johns, FL 32259-3040
Phone (904) 993-8940
Other providers in St Johns, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 6, 2023. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.