MEDICARE: HARMONI HEALTH AND WELLNESS LLC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	2084P0800X	Psychiatry Physician

General Provider Information

NPI Number	:	1407610587
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	HARMONI HEALTH AND WELLNESS LLC

Provider Business Mailing Address
First Line	:	8210 MACEDONIA COMMONS BLVD STE 3B-1022
Second Line	:
City	:	MACEDONIA
State	:	OH
Zip	:	44056-1860
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	8210 MACEDONIA COMMONS BLVD STE 3B-1022
Second Line	:
City	:	MACEDONIA
State	:	OH
Zip	:	44056-1860
Country	:	US
Telephone Number	:	740-233-2256
Fax Number	:

Authorized Official
Title or Position	:	OWNER
Name	:	TANYA CLARK
Credential	:
Telephone Number	:	740-233-2256

Provider Enumeration Date	:	02/09/2024
Last Update Date	:	02/09/2024

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