Healthcare Provider Details

I. General information

NPI: 1972043503
Provider Name (Legal Business Name): HARMONY HEALTH SERVICES
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 03/01/2017
Last Update Date: 12/05/2024
Certification Date: 12/05/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

11805 W HAMPTON AVE STE 103
MILWAUKEE WI
53225-3612
US

IV. Provider business mailing address

11935 W RIO ST
MILWAUKEE WI
53225-1040
US

V. Phone/Fax

Practice location:
  • Phone: 414-745-4569
  • Fax:
Mailing address:
  • Phone: 414-745-4569
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261Q00000X
TaxonomyClinic/Center
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code363LP0808X
TaxonomyPsychiatric/Mental Health Nurse Practitioner
License Number
License Number State

VIII. Authorized Official

Name: LATASHA K PARISH
Title or Position: NURSE PRACTITIONER
Credential:
Phone: 414-745-4569