Active NPI
Mia Lynn Cellino, LPMT, MT-BC
- Music Therapist
- Woodstock, GA
National Provider Identifier
1881158533
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Music Therapist
- License
- MUT000209
- Practice address
- 9880 Hickory Flat Hwy
Woodstock, GA 30188-3081 - Phone
- (770) 687-2542
- Fax
- (770) 783-5049
- NPI assigned
- Jan 28, 2019
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Music Therapist | 225A00000X | MUT000209 | GA | Primary |
Addresses
Primary practice location
9880 Hickory Flat Hwy
Woodstock, GA 30188-3081
Mailing address
215 Fernwood PL
Woodstock, GA 30188-6242
Phone (404) 402-6190
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| MUT000209 | GA | MD | Music Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1548633600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1548633600000",
"number": "1881158533",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "215 FERNWOOD PL",
"city": "WOODSTOCK",
"state": "GA",
"postal_code": "301886242",
"telephone_number": "404-402-6190"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "9880 HICKORY FLAT HWY",
"city": "WOODSTOCK",
"state": "GA",
"postal_code": "301883081",
"telephone_number": "770-687-2542",
"fax_number": "770-783-5049"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CELLINO",
"first_name": "MIA",
"middle_name": "LYNN",
"credential": "LPMT, MT-BC",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2019-01-28",
"last_updated": "2019-01-28",
"status": "A"
},
"taxonomies": [
{
"code": "225A00000X",
"taxonomy_group": "",
"desc": "Music Therapist",
"state": "GA",
"license": "MUT000209",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Woodstock, GA
- Deidra Lynn Castillo, COTA/L
- Stephanie Castillo
- Alexis Catlett, MD
- Jennifer Caupain, OTR
- Jessie W. Cavazos, DPT, OCS
- Cheyenne Ceniceros, SLP
- Centerpoint Therapeutic Services, Inc. (Centerpoint and Associates, Inc.)
- Centerwell Senior Primary Care Ga PC (CenterWell Senior Primary Care-Woodstock)
- Centre for Transitional Change LLC
- Myrna Cesar
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 28, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.