Healthcare Provider Details

I. General information

NPI: 1144933730
Provider Name (Legal Business Name): HARMONIOUS LIVING BEHAVIORAL HEALTH SERVICES LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 12/29/2022
Last Update Date: 12/29/2022
Certification Date: 12/29/2022
Deactivation Date:
Reactivation Date:

III. Provider practice location address

810 DOMINICAN DR
NASHVILLE TN
37228-1906
US

IV. Provider business mailing address

517 CHERRY GROVE LN
WHITES CREEK TN
37189-9303
US

V. Phone/Fax

Practice location:
  • Phone: 615-400-6938
  • Fax:
Mailing address:
  • Phone: 615-400-6938
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code103T00000X
TaxonomyPsychologist
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License Number
License Number State

VIII. Authorized Official

Name: KEISHA BEAN
Title or Position: OWNER
Credential: PHD
Phone: 615-400-6938