Healthcare Provider Details

I. General information

NPI: 1548000532
Provider Name (Legal Business Name): HARMONY HOUSE LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/28/2024
Last Update Date: 05/29/2026
Certification Date: 05/29/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

378 WINDSOR AVE
WINDSOR CT
06095-4551
US

IV. Provider business mailing address

378 WINDSOR AVE
WINDSOR CT
06095-4551
US

V. Phone/Fax

Practice location:
  • Phone: 860-993-0806
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code103K00000X
TaxonomyBehavior Analyst
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code261QM0801X
TaxonomyMental Health Clinic/Center (Including Community Mental Health Center)
License Number
License Number State

VIII. Authorized Official

Name: AUDRIANA VASSEL
Title or Position: CEO
Credential:
Phone: 860-993-0806