Healthcare Provider Details

I. General information

NPI: 1245974856
Provider Name (Legal Business Name): HARMNIY BEHAVIORAL HEALTH & WELLNESS
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 04/21/2022
Last Update Date: 09/21/2022
Certification Date: 09/21/2022
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5608 17TH AVE NW STE 1527
SEATTLE WA
98107-5232
US

IV. Provider business mailing address

5608 17TH AVE NW STE 1527
SEATTLE WA
98107-5232
US

V. Phone/Fax

Practice location:
  • Phone: 206-612-1216
  • Fax:
Mailing address:
  • Phone: 206-612-1216
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code261QH0100X
TaxonomyHealth Service Clinic/Center
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code363LP0808X
TaxonomyPsychiatric/Mental Health Nurse Practitioner
License Number
License Number State

VIII. Authorized Official

Name: ROSELYNE OGOLA-MWANGALE
Title or Position: CEO
Credential: DNP
Phone: 206-612-1216