Healthcare Provider Details

I. General information

NPI: 1164369062
Provider Name (Legal Business Name): HARMONY HAVEN BEHAVIORAL HEALTH CENTER, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 04/30/2026
Last Update Date: 04/30/2026
Certification Date: 04/30/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3494 S HAMILTON RD STE 106
COLUMBUS OH
43232-5600
US

IV. Provider business mailing address

3494 S HAMILTON RD STE 106
COLUMBUS OH
43232-5600
US

V. Phone/Fax

Practice location:
  • Phone: 614-429-7910
  • Fax:
Mailing address:
  • Phone: 614-429-7910
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251S00000X
TaxonomyCommunity/Behavioral Health Agency
License Number
License Number State

VIII. Authorized Official

Name: BRANDON IVERY
Title or Position: OWNER
Credential: CDCA
Phone: 614-429-7910