TIDEWATER MUSIC THERAPY NPI 1316804339

NPI Information

  • NPI: 1316804339
  • Provider Name: TIDEWATER MUSIC THERAPY
  • Classification: Music Therapist - 225A00000X
  • Entity Type: Organization
  • Address: 4030 GEORGE WASHINGTON MEM HWY STE C
    YORKTOWN, VA
    ZIP 23692
  • Phone: (757) 255-8866

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NPI Details

TIDEWATER MUSIC THERAPY is a music therapist in Yorktown, VA. The provider is music therapists use music interventions to assess clients' strengths and needs, develop goals, implement services, and evaluate and document progress for individuals of all ages. Music therapists facilitate changes in physical, cognitive, emotional, and/or psychosocial health. TIDEWATER MUSIC THERAPY NPI is 1316804339. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

4030 GEORGE WASHINGTON MEM HWY STE C
YORKTOWN, VA
ZIP 23692-619
Phone: (757) 255-8866

The provider's authorized official is Nicole Harney .
The authorized official title is Music Therapist and has the following contact phone number (757) 255-8866.

The enumeration date for this NPI number is 1/9/2026 and was last updated on 1/9/2026.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1225A00000XMusic TherapistYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
11528746807MEDICAIDVIRGINIA
21174201164MEDICAIDVIRGINIA
31366124919MEDICAIDVIRGINIA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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