Healthcare Provider Details
I. General information
NPI: 1336066059
Provider Name (Legal Business Name): CP HARMONY SUPPORT SERVICES LLC
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 07/02/2026
Last Update Date: 07/02/2026
Certification Date: 07/02/2026
Deactivation Date:
Reactivation Date:
III. Provider practice location address
7600 W 20TH AVE STE 107
HIALEAH FL
33016-1895
US
IV. Provider business mailing address
7600 W 20TH AVE STE 107
HIALEAH FL
33016-1895
US
V. Phone/Fax
- Phone: 786-644-6887
- Fax:
- Phone:
- Fax:
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 251S00000X |
| Taxonomy | Community/Behavioral Health Agency |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name: MR.
YOHANNY
L
CASTRO
SR.
Title or Position: PRESIDENT
Credential:
Phone: 305-244-7702