Provider Demographics
NPI:1528898954
Name:SOUTHEAST TEXAS MUSIC THERAPY, LLC
Entity type:Organization
Organization Name:SOUTHEAST TEXAS MUSIC THERAPY, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MANAGING MEMBER/MUSIC THERAPIST
Authorized Official - Prefix:
Authorized Official - First Name:LAUREN
Authorized Official - Middle Name:
Authorized Official - Last Name:FRAZIER
Authorized Official - Suffix:
Authorized Official - Credentials:MT-BC
Authorized Official - Phone:281-766-7987
Mailing Address - Street 1:916 LINDSEY ST
Mailing Address - Street 2:
Mailing Address - City:SILSBEE
Mailing Address - State:TX
Mailing Address - Zip Code:77656-6213
Mailing Address - Country:US
Mailing Address - Phone:281-766-7987
Mailing Address - Fax:
Practice Address - Street 1:916 LINDSEY ST
Practice Address - Street 2:
Practice Address - City:SILSBEE
Practice Address - State:TX
Practice Address - Zip Code:77656-6213
Practice Address - Country:US
Practice Address - Phone:281-766-7987
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-08-01
Last Update Date:2024-08-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes225A00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersMusic TherapistGroup - Single Specialty