Healthcare Provider Details

I. General information

NPI: 1205520723
Provider Name (Legal Business Name): NEW HARMONY BEHAVIORAL HEALTH & WELLNESS, LLC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/07/2023
Last Update Date: 06/07/2023
Certification Date: 06/07/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

11 MUNICIPAL DR. STE. 200 STE 200
FISHERS IN
46038
US

IV. Provider business mailing address

11650 OLIO RD. SUITE 1000-154 SUITE 1000-154
FISHERS IN
46037
US

V. Phone/Fax

Practice location:
  • Phone: 317-420-4737
  • Fax:
Mailing address:
  • Phone: 317-420-4737
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code104100000X
TaxonomySocial Worker
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code171400000X
TaxonomyHealth & Wellness Coach
License Number
License Number State
# 4
Primary TaxonomyN
Taxonomy Code171M00000X
TaxonomyCase Manager/Care Coordinator
License Number
License Number State

VIII. Authorized Official

Name: SHARON HOUSE
Title or Position: PRESIDENT
Credential:
Phone: 317-420-4737