MEDICARE: HARMONY EARTH INTEGRATIVE MENTAL HEALTH

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	261QM0801X	Mental Health Clinic/Center (Including Community Mental Health Center)

General Provider Information

NPI Number	:	1417644063
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	HARMONY EARTH INTEGRATIVE MENTAL HEALTH

Provider Business Mailing Address
First Line	:	2000 MALLORY LN STE 290
Second Line	:
City	:	FRANKLIN
State	:	TN
Zip	:	37067-6287
Country	:	US
Telephone Number	:	615-802-5448
Fax Number	:

Provider Business Practice Location Address
First Line	:	305 ELLINGTON DRIVE.
Second Line	:
City	:	FRANKLIN
State	:	TN
Zip	:	37064
Country	:	US
Telephone Number	:	615-802-5448
Fax Number	:	615-623-8638

Authorized Official
Title or Position	:	OWNER
Name	:	DR. DEBRA CATHLEEN POPLAR
Credential	:	NP
Telephone Number	:	615-802-5448

Provider Enumeration Date	:	04/21/2023
Last Update Date	:	06/14/2024

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