Healthcare Provider Details

I. General information

NPI: 1174497010
Provider Name (Legal Business Name): HARMONY HILLS WELLNESS LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 10/02/2025
Last Update Date: 07/23/2026
Certification Date: 07/23/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

24306 THORN DR
FLAT ROCK MI
48134-6037
US

IV. Provider business mailing address

24306 THORN DR
FLAT ROCK MI
48134-6037
US

V. Phone/Fax

Practice location:
  • Phone: 734-304-0901
  • Fax: 734-805-9227
Mailing address:
  • Phone: 734-304-0901
  • Fax: 734-805-9227

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LP0808X
TaxonomyPsychiatric/Mental Health Nurse Practitioner
License Number
License Number State

VIII. Authorized Official

Name: MRS. NWAKAEGO LISA UWAEZUOKE
Title or Position: PMHNP
Credential: NP
Phone: 734-299-6131