Organization
AWAKE IN WELLNESS, LLC
Active
Organization
AWAKE IN WELLNESS, LLC
Active
Other names
Awake In Wellness Music Therapy
Organization subpart
No
Provider details
NPI number
Authorized official
JESSICA MARIE DITTY MM, MT-BC (OPERATING MANAGER)
(303) 349-8918
Entity
Organization
Contact information
Practice address
1430 NELSON RD STE 221, LONGMONT, CO 80501-6399
(720) 340-3869
Mailing address
1430 NELSON RD STE 221, LONGMONT, CO 80501-6399
(203) 403-8697
Taxonomy
Speciality
Code
Description
License number
State
225A00000X
Music Therapist
Primary
11114
CO
Other
Enumeration date
08/17/2018
Last updated
06/06/2023
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