Healthcare Provider Details

I. General information

NPI: 1942132733
Provider Name (Legal Business Name): HARMONY LYNN BENNETT
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 06/03/2026
Last Update Date: 06/03/2026
Certification Date: 06/03/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

425 E MAIN ST
HARTFORD MI
49057-1160
US

IV. Provider business mailing address

47969 COUNTY ROAD 673
LAWRENCE MI
49064-8602
US

V. Phone/Fax

Practice location:
  • Phone: 269-363-2817
  • Fax: 269-363-2817
Mailing address:
  • Phone: 269-363-2817
  • Fax: 269-363-2817

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code103K00000X
TaxonomyBehavior Analyst
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: