Healthcare Provider Details

I. General information

NPI: 1649902941
Provider Name (Legal Business Name): HARMONY WELLNESS COUNSELING AND CONSULTING CENTER, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/27/2022
Last Update Date: 09/09/2023
Certification Date: 09/08/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

14504 GREENVIEW DR STE 201
LAUREL MD
20708-4203
US

IV. Provider business mailing address

14504 GREENVIEW DR STE 201
LAUREL MD
20708-4203
US

V. Phone/Fax

Practice location:
  • Phone: 301-247-8755
  • Fax:
Mailing address:
  • Phone: 301-247-8755
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code251S00000X
TaxonomyCommunity/Behavioral Health Agency
License Number
License Number State

VIII. Authorized Official

Name: LISA M FORD
Title or Position: OWNER/CLINICAL THERAPIST
Credential: LSCW-C
Phone: 301-247-8755