Organization
LIFE MUSIC THERAPY & COUNSELING
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CHANDA SPATES (CEO)
(704) 661-3005
Entity
Organization
Contact information
Practice address
9107 CARROT PATCH DR, CHARLOTTE, NC 28216-7103
(704) 661-3005
Mailing address
9107 CARROT PATCH DR, CHARLOTTE, NC 28216-7103
Taxonomy
Speciality
Code
Description
License number
State
133NN1002X
Nutrition Education Nutritionist
—
—
225A00000X
Music Therapist
—
—
225XP0019X
Physical Rehabilitation Occupational Therapist
Primary
—
—
251B00000X
Case Management Agency
—
—
251S00000X
Community/Behavioral Health Agency
—
—
343900000X
Non-emergency Medical Transport (VAN)
—
—
Other
Enumeration date
05/21/2024
Last updated
05/22/2024
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