Healthcare Provider Details

I. General information

NPI: 1083451710
Provider Name (Legal Business Name): HARMONY HEALTH PARTNERS WA LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/10/2024
Last Update Date: 09/19/2026
Certification Date: 09/19/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

14243R AMBAUM BLVD SW
BURIEN WA
98166-1421
US

IV. Provider business mailing address

14243R AMBAUM BLVD SW
BURIEN WA
98166-1421
US

V. Phone/Fax

Practice location:
  • Phone: 206-759-0587
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251B00000X
TaxonomyCase Management Agency
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code251S00000X
TaxonomyCommunity/Behavioral Health Agency
License Number
License Number State

VIII. Authorized Official

Name: ROUKHYA ROBA OUEDRAOGO
Title or Position: EXECUTIVE DIRECTOR
Credential:
Phone: 206-434-6616