Organization
CHARLOTTE MUSIC THERAPY, LLC
Active
Organization
CHARLOTTE MUSIC THERAPY, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MASON AUGUST SWIMMER MT-BC (OWNER)
(704) 996-0381
Entity
Organization
Contact information
Practice address
1319 LOMAX AVE, CHARLOTTE, NC 28211-2546
(704) 996-0381
Mailing address
235 MEADOWBROOK RD, CHARLOTTE, NC 28211-1307
(704) 996-0381
Taxonomy
Speciality
Code
Description
License number
State
225A00000X
Music Therapist
Primary
—
—
261QD1600X
Developmental Disabilities Clinic/Center
—
—
261QR0400X
Rehabilitation Clinic/Center
—
—
Other
Enumeration date
03/09/2021
Last updated
06/30/2025
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