Healthcare Provider Details

I. General information

NPI: 1306752944
Provider Name (Legal Business Name): HARMONY WELLNESS CLINIC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/22/2026
Last Update Date: 08/30/2026
Certification Date: 08/30/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

9453 CHADBURN PL
MONTGOMERY VILLAGE MD
20886-4030
US

IV. Provider business mailing address

9453 CHADBURN PL
MONTGOMERY VILLAGE MD
20886-4030
US

V. Phone/Fax

Practice location:
  • Phone: 301-800-1935
  • Fax:
Mailing address:
  • Phone: 301-800-1935
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code171100000X
TaxonomyAcupuncturist
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code171400000X
TaxonomyHealth & Wellness Coach
License Number
License Number State

VIII. Authorized Official

Name: ANNA M KIM
Title or Position: COORDINATOR
Credential:
Phone: 301-800-1935