Provider Demographics
NPI:1639932049
Name:AFFIRM MUSIC THERAPY LLC
Entity type:Organization
Organization Name:AFFIRM MUSIC THERAPY LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER AND MUSIC THERAPIST
Authorized Official - Prefix:MRS
Authorized Official - First Name:CECILY
Authorized Official - Middle Name:
Authorized Official - Last Name:MEADE
Authorized Official - Suffix:
Authorized Official - Credentials:MM, MT-MC
Authorized Official - Phone:406-899-3198
Mailing Address - Street 1:2128 SPRINGFIELD CT
Mailing Address - Street 2:
Mailing Address - City:FORT COLLINS
Mailing Address - State:CO
Mailing Address - Zip Code:80521-4219
Mailing Address - Country:US
Mailing Address - Phone:406-899-3198
Mailing Address - Fax:
Practice Address - Street 1:2128 SPRINGFIELD CT
Practice Address - Street 2:
Practice Address - City:FORT COLLINS
Practice Address - State:CO
Practice Address - Zip Code:80521-4219
Practice Address - Country:US
Practice Address - Phone:406-899-3198
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-01-31
Last Update Date:2024-01-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes225A00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersMusic TherapistGroup - Single Specialty