MEDICARE: HARMONIOUS HEALTH AND WELLNESS

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	261QM0801X	Mental Health Clinic/Center (Including Community Mental Health Center)

General Provider Information

NPI Number	:	1841075942
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	HARMONIOUS HEALTH AND WELLNESS

Provider Business Mailing Address
First Line	:	1113 LINCOLN RD
Second Line	:
City	:	WEST PALM BEACH
State	:	FL
Zip	:	33407-5759
Country	:	US
Telephone Number	:	561-201-2230
Fax Number	:

Provider Business Practice Location Address
First Line	:	1113 LINCOLN RD
Second Line	:
City	:	WEST PALM BEACH
State	:	FL
Zip	:	33407-5759
Country	:	US
Telephone Number	:	561-201-2230
Fax Number	:

Authorized Official
Title or Position	:	PSYCHIATRIC NURSE PRACTITIONER
Name	:	BRENDA ANN COOPER
Credential	:	NURSE PRACTITIONER
Telephone Number	:	561-201-2230

Provider Enumeration Date	:	08/28/2023
Last Update Date	:	08/28/2023

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Directions to “HARMONIOUS HEALTH AND WELLNESS ” Practice Location

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