Healthcare Provider Details

I. General information

NPI: 1245092758
Provider Name (Legal Business Name): HARMONY HAVEN BEHAVIORAL HEALTH SERVICES
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 01/29/2024
Last Update Date: 05/15/2026
Certification Date: 05/15/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

6101 PARK HEIGHTS AVE
BALTIMORE MD
21215-3650
US

IV. Provider business mailing address

6101 PARK HEIGHTS AVE
BALTIMORE MD
21215-3650
US

V. Phone/Fax

Practice location:
  • Phone: 443-985-6225
  • Fax:
Mailing address:
  • Phone: 443-985-6225
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QM0801X
TaxonomyMental Health Clinic/Center (Including Community Mental Health Center)
License Number
License Number State

VIII. Authorized Official

Name: NATHALIE NDOKAME
Title or Position: CEO
Credential: RNP
Phone: 443-985-6225