Healthcare Provider Details
I. General information
NPI: 1588591481
Provider Name (Legal Business Name): HARBOR LIGHT MUSIC THERAPY LLC
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 05/05/2026
Last Update Date: 08/04/2026
Certification Date: 08/04/2026
Deactivation Date:
Reactivation Date:
III. Provider practice location address
1213 POMONA ST APT J
FORT COLLINS CO
80521-1796
US
IV. Provider business mailing address
1213 POMONA ST APT J
FORT COLLINS CO
80521-1796
US
V. Phone/Fax
- Phone: 207-703-3888
- Fax:
- Phone: 207-703-3888
- Fax:
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 225A00000X |
| Taxonomy | Music Therapist |
| License Number | |
| License Number State | NULL |
VIII. Authorized Official
Name:
CHLOE
MORETTI
Title or Position: FOUNDER
Credential: MT-BC
Phone: 207-703-3888