Healthcare Provider Details

I. General information

NPI: 1912377102
Provider Name (Legal Business Name): HARMONY HEALS HOLISTIC COUNSELING CENTER
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/30/2015
Last Update Date: 06/01/2016
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

23173 LA CADENA DR
LAGUNA HILLS CA
92653-1404
US

IV. Provider business mailing address

23173 LA CADENA DR
LAGUNA HILLS CA
92653-1404
US

V. Phone/Fax

Practice location:
  • Phone: 949-837-2751
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code106H00000X
TaxonomyMarriage & Family Therapist
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code261QM0801X
TaxonomyMental Health Clinic/Center (Including Community Mental Health Center)
License Number
License Number State

VIII. Authorized Official

Name: FARID TABRIZY
Title or Position: PRESIDENT
Credential:
Phone: 949-837-2751