Healthcare Provider Details

I. General information

NPI: 1275409468
Provider Name (Legal Business Name): HARMONY BEHAVIORAL HEALTH LLC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 10/14/2025
Last Update Date: 10/14/2025
Certification Date: 10/14/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

8484 WANN DR NW STE B
MADISON AL
35758-9545
US

IV. Provider business mailing address

8484 WANN DR NW STE B
MADISON AL
35758-9545
US

V. Phone/Fax

Practice location:
  • Phone: 256-469-1446
  • Fax: 256-469-1448
Mailing address:
  • Phone: 256-469-1446
  • Fax: 256-469-1448

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YP2500X
TaxonomyProfessional Counselor
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code363L00000X
TaxonomyNurse Practitioner
License Number
License Number State

VIII. Authorized Official

Name: DR. THEODROS MENGESHA
Title or Position: OWNER, AUTHORIZED OFFICIAL
Credential: M.D.
Phone: 256-469-1446