MEDICARE: HARMONY GOORLEY

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	101YP2500X	Professional Counselor	180009948	IL

General Provider Information

NPI Number	:	1639037468
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	HARMONY GOORLEY

Provider Business Mailing Address
First Line	:	311 W COVENTRY LN
Second Line	:
City	:	PEORIA
State	:	IL
Zip	:	61614-2111
Country	:	US
Telephone Number	:	309-251-0113
Fax Number	:

Provider Business Practice Location Address
First Line	:	311 W COVENTRY LN
Second Line	:
City	:	PEORIA
State	:	IL
Zip	:	61614-2111
Country	:	US
Telephone Number	:	309-251-0113
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	01/12/2026
Last Update Date	:	01/12/2026

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Directions to “ HARMONY GOORLEY ” Practice Location

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