Organization
TIDEWATER MUSIC THERAPY
Active
Organization
TIDEWATER MUSIC THERAPY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
NICOLE HARNEY MT-BC (MUSIC THERAPIST)
(757) 255-8866
Entity
Organization
Contact information
Practice address
4030 GEORGE WASHINGTON MEM HWY STE C, YORKTOWN, VA 23692-2619
(757) 255-8866
Mailing address
4030 GEORGE WASHINGTON MEM HWY STE C, YORKTOWN, VA 23692-2619
Taxonomy
Speciality
Code
Description
License number
State
225A00000X
Music Therapist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1174201164
—
VA
05
—
1366124919
—
VA
05
—
1528746807
—
VA
05
—
30018454480001
—
VA
Enumeration date
01/09/2026
Last updated
05/12/2026
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