Healthcare Provider Details

I. General information

NPI: 1780342634
Provider Name (Legal Business Name): HARMONIOUS HEALTH INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 12/07/2021
Last Update Date: 12/07/2021
Certification Date: 12/07/2021
Deactivation Date:
Reactivation Date:

III. Provider practice location address

6022 WELDON SPRING PKWY
WELDON SPRING MO
63304-9103
US

IV. Provider business mailing address

6022 WELDON SPRING PKWY
WELDON SPRING MO
63304-9103
US

V. Phone/Fax

Practice location:
  • Phone: 636-324-3388
  • Fax:
Mailing address:
  • Phone: 636-324-3388
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code2084P0800X
TaxonomyPsychiatry Physician
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code251B00000X
TaxonomyCase Management Agency
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code261Q00000X
TaxonomyClinic/Center
License Number
License Number State
# 4
Primary TaxonomyN
Taxonomy Code261QM0801X
TaxonomyMental Health Clinic/Center (Including Community Mental Health Center)
License Number
License Number State
# 5
Primary TaxonomyY
Taxonomy Code261QM0850X
TaxonomyAdult Mental Health Clinic/Center
License Number
License Number State

VIII. Authorized Official

Name: ZHANNA A KEETON
Title or Position: CEO
Credential: MBA, LPC
Phone: 636-324-3388