Healthcare Provider Details

I. General information

NPI: 1710553458
Provider Name (Legal Business Name): HARMONY BEHAVIORAL HEALTH LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/02/2021
Last Update Date: 06/02/2021
Certification Date: 06/02/2021
Deactivation Date:
Reactivation Date:

III. Provider practice location address

15 E MINNESOTA ST STE 105
SAINT JOSEPH MN
56374
US

IV. Provider business mailing address

15 E MINNESOTA ST STE 105
SAINT JOSEPH MN
56374
US

V. Phone/Fax

Practice location:
  • Phone: 320-363-8055
  • Fax: 320-363-8056
Mailing address:
  • Phone: 320-363-8055
  • Fax: 320-363-8056

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code103TC2200X
TaxonomyClinical Child & Adolescent Psychologist
License Number
License Number State

VIII. Authorized Official

Name: DR. HOLLY HIEB CLAUSEN
Title or Position: PRACTICE DIRECTOR
Credential: PH.D.
Phone: 320-363-8055