Healthcare Provider Details
I. General information
NPI: 1972396034
Provider Name (Legal Business Name): HARLOWE HEALTH LLC
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 05/22/2025
Last Update Date: 05/22/2025
Certification Date: 05/22/2025
Deactivation Date:
Reactivation Date:
III. Provider practice location address
12 PARMENTER RD UNIT C5
LONDONDERRY NH
03053-3279
US
IV. Provider business mailing address
12 PARMENTER RD UNIT C5
LONDONDERRY NH
03053-3279
US
V. Phone/Fax
- Phone: 833-324-8325
- Fax:
- Phone:
- Fax:
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | N |
| Taxonomy Code | 302F00000X |
| Taxonomy | Exclusive Provider Organization |
| License Number | |
| License Number State | |
| # 2 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 251B00000X |
| Taxonomy | Case Management Agency |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name:
ZACHARY
LAWSON
Title or Position: CIO
Credential:
Phone: 475-473-9142