IndividualActive
Athena Mask, MT-BC
NPI 1952935454 · Music Therapist · Longview, TX
Provider details
- NPI number
- 1952935454
- Entity type
- Individual
- Primary specialty
- Music TherapistRespiratory, Developmental, Rehabilitative and Restorative Service Providers
- Credential
- MT-BC
- Sex
- Female
- Sole proprietor
- Yes
- License
- 14101 (TX)
Specialties & taxonomies
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Practice location
2455 N Eastman Rd
Longview, TX 75605-4057
Phone: (903) 315-9338
Approximate (ZIP-level) locationGet directions
Mailing address
408 E South St Apt 2
Kilgore, TX 75662-2552
Registry dates
- Enumerated
- 2020-02-24
- Last updated
- 2020-02-24
- Certified
- 2020-02-24
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.