Healthcare Provider Details

I. General information

NPI: 1093680175
Provider Name (Legal Business Name): HARMONY LASHAY HURT
Entity Type: Individual
Gender:
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 10/08/2025
Last Update Date: 10/24/2025
Certification Date: 10/08/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

18112 EVERGREEN RD
DETROIT MI
48219-3465
US

IV. Provider business mailing address

18112 EVERGREEN RD
DETROIT MI
48219-3465
US

V. Phone/Fax

Practice location:
  • Phone: 313-856-3198
  • Fax:
Mailing address:
  • Phone: 313-856-3198
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YS0200X
TaxonomySchool Counselor
License Number
License Number StateMI

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: