Healthcare Provider Details

I. General information

NPI: 1841877198
Provider Name (Legal Business Name): HARMONY HAVEN BEHAVIORAL HEALTH
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 03/24/2021
Last Update Date: 07/18/2024
Certification Date: 07/18/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1176 VICKERY LN STE 100
CORDOVA TN
38016-0631
US

IV. Provider business mailing address

7633 DEXTER PARK DR
CORDOVA TN
38016-8750
US

V. Phone/Fax

Practice location:
  • Phone: 901-519-2890
  • Fax:
Mailing address:
  • Phone: 901-246-8090
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QM0801X
TaxonomyMental Health Clinic/Center (Including Community Mental Health Center)
License Number
License Number State

VII. Legacy identifiers

For crosswalk purposes, the following legacy (non-NPI) identifiers are available for this provider:

VIII. Authorized Official

Name: NADENE BARKER
Title or Position: OWNER/PROVIDER
Credential:
Phone: 901-246-8090