MEDICARE: HARMONIOUS BLISS LIFE COACHING & BODYWORK LLC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	225700000X	Massage Therapist

General Provider Information

NPI Number	:	1033900402
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	HARMONIOUS BLISS LIFE COACHING & BODYWORK LLC

Provider Business Mailing Address
First Line	:	6508 SMOOTH THORN CT
Second Line	:
City	:	JACKSONVILLE
State	:	FL
Zip	:	32258-5498
Country	:	US
Telephone Number	:	904-686-1464
Fax Number	:

Provider Business Practice Location Address
First Line	:	301 10TH AVE N STE B
Second Line	:
City	:	JACKSONVILLE BEACH
State	:	FL
Zip	:	32250-4798
Country	:	US
Telephone Number	:	904-686-1464
Fax Number	:

Authorized Official
Title or Position	:	OWNER/LEAD THERAPIST
Name	:	JIMMY LEO WEST
Credential	:	LMT
Telephone Number	:	904-686-1464

Provider Enumeration Date	:	05/15/2025
Last Update Date	:	05/15/2025

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