Provider Demographics
NPI:1457876203
Name:NEUROSOUND MUSIC THERAPY
Entity type:Organization
Organization Name:NEUROSOUND MUSIC THERAPY
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MUSIC THERAPIST
Authorized Official - Prefix:
Authorized Official - First Name:KELSI
Authorized Official - Middle Name:SHEA
Authorized Official - Last Name:TAFARO
Authorized Official - Suffix:
Authorized Official - Credentials:MT-BC
Authorized Official - Phone:571-367-9951
Mailing Address - Street 1:PO BOX 91
Mailing Address - Street 2:
Mailing Address - City:HAYMARKET
Mailing Address - State:VA
Mailing Address - Zip Code:20168-0091
Mailing Address - Country:US
Mailing Address - Phone:571-367-9951
Mailing Address - Fax:703-754-8315
Practice Address - Street 1:10340 DEMOCRACY LN STE 302
Practice Address - Street 2:
Practice Address - City:FAIRFAX
Practice Address - State:VA
Practice Address - Zip Code:22030-2518
Practice Address - Country:US
Practice Address - Phone:571-367-9951
Practice Address - Fax:703-757-8315
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2017-08-12
Last Update Date:2023-01-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA11015225A00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes225A00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersMusic TherapistGroup - Multi-Specialty