1194050047 NPI number — HARMONY COUNSELING ASSOCIATES LLC

Table of Contents

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1194050047 NPI number — HARMONY COUNSELING ASSOCIATES LLC

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
HARMONY COUNSELING ASSOCIATES LLC
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:
1194050047
Entity Type Code:
Organization
Replacement NPI:
Last Update Date:
12/28/2010
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
516 CENTER RD
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
VENICE
Provider Business Mailing Address State Name:
FL
Provider Business Mailing Address Postal Code:
34285-4803
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
941-375-5222
Provider Business Mailing Address Fax Number:
941-460-5109

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
230 TAMIAMI TRL S
Provider Second Line Business Practice Location Address:
SUITE 3
Provider Business Practice Location Address City Name:
VENICE
Provider Business Practice Location Address State Name:
FL
Provider Business Practice Location Address Postal Code:
34285-2453
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
941-375-5222
Provider Business Practice Location Address Fax Number:
941-460-5109
Provider Enumeration Date:
10/10/2009

Additional Information

Authorized Official

Authorized Official Last Name:
NUTTER
Authorized Official First Name:
KENNETH
Authorized Official Middle Name:
MICHAEL
Authorized Official Title or Position:
MANAGER
Authorized Official Telephone Number:
941-375-5222

Provider Taxonomy Codes

  • Taxonomy code: 101YM0800X , with the licence number:  MH5058 , registered in the state of FL ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

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





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