Healthcare Provider Details

I. General information

NPI: 1306438296
Provider Name (Legal Business Name): HARMONY BEHAVIORAL SERVICES, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 02/11/2021
Last Update Date: 07/17/2026
Certification Date: 07/17/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

209 LA GRANGE RD
PEWEE VALLEY KY
40056-9174
US

IV. Provider business mailing address

6225 OSAGE RD
CRESTWOOD KY
40014-9611
US

V. Phone/Fax

Practice location:
  • Phone: 502-709-5240
  • Fax: 855-632-0826
Mailing address:
  • Phone: 727-592-8657
  • Fax: 727-592-8656

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code103K00000X
TaxonomyBehavior Analyst
License Number
License Number State

VIII. Authorized Official

Name: KELLY LASLEY
Title or Position: OPERATIONS MANAGER
Credential:
Phone: 502-709-5240