Provider Demographics
NPI:1780353052
Name:DONT FRET THERAPIES, LLC
Entity type:Organization
Organization Name:DONT FRET THERAPIES, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MUSIC THERAPIST
Authorized Official - Prefix:
Authorized Official - First Name:KALEIGH
Authorized Official - Middle Name:NICOLE
Authorized Official - Last Name:VAN DEROSTYNE
Authorized Official - Suffix:
Authorized Official - Credentials:MT-BC
Authorized Official - Phone:757-354-0381
Mailing Address - Street 1:4933 OAKMONT DR
Mailing Address - Street 2:
Mailing Address - City:CORPUS CHRISTI
Mailing Address - State:TX
Mailing Address - Zip Code:78413-2701
Mailing Address - Country:US
Mailing Address - Phone:757-354-0381
Mailing Address - Fax:
Practice Address - Street 1:4933 OAKMONT DR
Practice Address - Street 2:
Practice Address - City:CORPUS CHRISTI
Practice Address - State:TX
Practice Address - Zip Code:78413-2701
Practice Address - Country:US
Practice Address - Phone:757-354-0381
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-09-09
Last Update Date:2021-09-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes225A00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersMusic TherapistGroup - Single Specialty