Healthcare Provider Details

I. General information

NPI: 1417262064
Provider Name (Legal Business Name): HARMONYUS, INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/06/2010
Last Update Date: 11/23/2010
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

505 EAST JACKSON STREET SUITE 205
TAMPA FL
33602
US

IV. Provider business mailing address

11315 CYPRESS RESERVE DR
TAMPA FL
33626-1325
US

V. Phone/Fax

Practice location:
  • Phone: 813-375-2650
  • Fax:
Mailing address:
  • Phone: 813-375-2650
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License NumberMH10403
License Number StateFL
# 2
Primary TaxonomyN
Taxonomy Code171100000X
TaxonomyAcupuncturist
License NumberAP1453
License Number StateFL

VIII. Authorized Official

Name: PATSY BERNICE EVANS
Title or Position: PRESIDENT
Credential: L.M.H.C., A.P.
Phone: 813-375-2650