Healthcare Provider Details
I. General information
NPI: 1447938444
Provider Name (Legal Business Name): HARMONY HEALTH & WELLNESS CENTER
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 07/10/2023
Last Update Date: 11/04/2024
Certification Date: 11/04/2024
Deactivation Date:
Reactivation Date:
III. Provider practice location address
2200 DEFENSE HWY STE 307
CROFTON MD
21114-2930
US
IV. Provider business mailing address
2200 DEFENSE HWY STE 307
CROFTON MD
21114-2930
US
V. Phone/Fax
- Phone: 301-494-3139
- Fax:
- Phone: 301-494-3139
- Fax:
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 261QM0801X |
| Taxonomy | Mental Health Clinic/Center (Including Community Mental Health Center) |
| License Number | |
| License Number State | |
| # 2 | |
| Primary Taxonomy | N |
| Taxonomy Code | 363LP0808X |
| Taxonomy | Psychiatric/Mental Health Nurse Practitioner |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name:
MASERAY
BAYOH-SENSIE
Title or Position: NURSE PRACTITIONER
Credential: PMHNP-BC
Phone: 301-343-7334