Healthcare Provider Details
I. General information
NPI: 1609533777
Provider Name (Legal Business Name): HARMONY BEHAVIORAL HEALTH LLC
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 11/23/2021
Last Update Date: 11/23/2021
Certification Date: 11/23/2021
Deactivation Date:
Reactivation Date:
III. Provider practice location address
6025 ATLANTIC BLVD
NORCROSS GA
30071-1344
US
IV. Provider business mailing address
4171 MARIETTA ST STE 300A
POWDER SPRINGS GA
30127-4808
US
V. Phone/Fax
- Phone: 770-943-8701
- Fax: 404-393-6439
- Phone:
- Fax:
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 2084P0800X |
| Taxonomy | Psychiatry Physician |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name: DR.
MANHEEVER
VAKHARIA
Title or Position: CEO
Credential: MD
Phone: 770-943-8701