1134377625 NPI number — HARMONY COUNSELING SERVICES

Table of content: TINASHE PATRICIA GOMBAKOMBA LPC (NPI 1740803055)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1134377625 NPI number — HARMONY COUNSELING SERVICES

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
HARMONY COUNSELING SERVICES
Provider Last Name:
Provider First Name:
Provider Middle Name:
Provider Name Prefix Text:
Provider Name Suffix Text:
Provider Credential Text:
Provider Gender Code:

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1134377625
Entity Type Code:
Organization
Replacement NPI:
Last Update Date:
10/07/2010
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
310 PAPER TRAIL WAY
Provider Second Line Business Mailing Address:
SUITE 103 HARMONY COUNSELING SERVICES, PC
Provider Business Mailing Address City Name:
CANTON
Provider Business Mailing Address State Name:
GA
Provider Business Mailing Address Postal Code:
30115
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
678-616-7994
Provider Business Mailing Address Fax Number:

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
310 PAPER TRAIL WAY, SUITE 103
Provider Second Line Business Practice Location Address:
HARMONY COUNSELING SERVICES, PC
Provider Business Practice Location Address City Name:
CANTON
Provider Business Practice Location Address State Name:
GA
Provider Business Practice Location Address Postal Code:
30115
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
678-616-7994
Provider Business Practice Location Address Fax Number:
Provider Enumeration Date:
09/09/2008

Additional Information

Authorized Official

Authorized Official Last Name:
HAMMONTREE
Authorized Official First Name:
AMBER
Authorized Official Middle Name:
FAITH
Authorized Official Title or Position:
CEO
Authorized Official Telephone Number:
678-616-7994

Provider Taxonomy Codes

  • Taxonomy code: 101YP2500X , with the licence number:  LPC005102 , registered in the state of GA ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)





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