MEDICARE: HARMONY & UNITY MENTAL HEALTH

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	251S00000X	Community/Behavioral Health Agency

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1518602754
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	HARMONY & UNITY MENTAL HEALTH

Provider Business Mailing Address
First Line	:	192 WAVERLY DR
Second Line	:
City	:	EAST STROUDSBURG
State	:	PA
Zip	:	18302-9061
Country	:	US
Telephone Number	:	347-551-1187
Fax Number	:

Provider Business Practice Location Address
First Line	:	196 DWIGHT ST
Second Line	:
City	:	JERSEY CITY
State	:	NJ
Zip	:	07305-3204
Country	:	US
Telephone Number	:	551-258-4422
Fax Number	:

Authorized Official
Title or Position	:	OWNER, APN
Name	:	OLUKEMI OWOSENI
Credential	:	APN
Telephone Number	:	347-551-1187

Provider Enumeration Date	:	05/02/2022
Last Update Date	:	09/28/2023

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