MEDICARE: HEALING HARMONY THERAPEUTIC SERVICES, PLLC

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	101YA0400X	Addiction (Substance Use Disorder) Counselor
2	101YM0800X	Mental Health Counselor

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1568325850
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	HEALING HARMONY THERAPEUTIC SERVICES, PLLC

Provider Business Mailing Address
First Line	:	600 PARK OFFICES DR STE 300
Second Line	:
City	:	DURHAM
State	:	NC
Zip	:	27713-2890
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	5015 RAINMAKER DRIVE
Second Line	:
City	:	DURHAM
State	:	NC
Zip	:	27704
Country	:	US
Telephone Number	:	919-451-7722
Fax Number	:

Authorized Official
Title or Position	:	OWNER/CEO
Name	:	TASHECKA RENEE DAVIS
Credential	:
Telephone Number	:	919-451-7722

Provider Enumeration Date	:	12/04/2025
Last Update Date	:	12/11/2025

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