Provider Demographics
NPI:1164238143
Name:MUZIKA CONSULTING LLC
Entity type:Organization
Organization Name:MUZIKA CONSULTING LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/CLINICAL & SPORT PSYCHOLOGIST
Authorized Official - Prefix:DR
Authorized Official - First Name:KEATON
Authorized Official - Middle Name:
Authorized Official - Last Name:MUZIKA
Authorized Official - Suffix:
Authorized Official - Credentials:PHD
Authorized Official - Phone:603-491-7462
Mailing Address - Street 1:1940 HIGHLAND AVE
Mailing Address - Street 2:
Mailing Address - City:WILMETTE
Mailing Address - State:IL
Mailing Address - Zip Code:60091-2360
Mailing Address - Country:US
Mailing Address - Phone:603-491-7462
Mailing Address - Fax:
Practice Address - Street 1:1940 HIGHLAND AVE
Practice Address - Street 2:
Practice Address - City:WILMETTE
Practice Address - State:IL
Practice Address - Zip Code:60091-2360
Practice Address - Country:US
Practice Address - Phone:603-491-7462
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-12-05
Last Update Date:2024-12-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QM0801XAmbulatory Health Care FacilitiesClinic/CenterMental Health (Including Community Mental Health Center)