Healthcare Provider Details

I. General information

NPI: 1497393789
Provider Name (Legal Business Name): HARMONY WELLNESS COUNSELING CENTER
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 12/17/2019
Last Update Date: 12/17/2019
Certification Date: 12/17/2019
Deactivation Date:
Reactivation Date:

III. Provider practice location address

190 NASSAU ST
PRINCETON NJ
08542-7012
US

IV. Provider business mailing address

16 BONNIE LN
WILLINGBORO NJ
08046-1630
US

V. Phone/Fax

Practice location:
  • Phone: 347-605-5709
  • Fax:
Mailing address:
  • Phone: 347-605-5709
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QM0850X
TaxonomyAdult Mental Health Clinic/Center
License Number
License Number State

VIII. Authorized Official

Name: MS. HASLYNA ANDREA WATSON
Title or Position: OWNER
Credential: LCSW
Phone: 347-605-5709