Healthcare Provider Details

I. General information

NPI: 1295414415
Provider Name (Legal Business Name): HARMON PSYCHOTHERAPY & CONSULTING
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/14/2023
Last Update Date: 07/14/2023
Certification Date: 07/11/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

760 N 530 E
OREM UT
84097
US

IV. Provider business mailing address

960 CEDAR AVE
PROVO UT
84604-2862
US

V. Phone/Fax

Practice location:
  • Phone: 801-687-9509
  • Fax:
Mailing address:
  • Phone: 801-376-4593
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
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: JOANNA HARMON
Title or Position: THERAPIST & BUSINESS MANAGER
Credential: CSW
Phone: 801-376-4593