Provider Demographics
NPI:1003309733
Name:HARMONY COUNSELING
Entity Type:Organization
Organization Name:HARMONY COUNSELING
Other - Org Name:COUNSELING AP
Other - Org Type:Doing Business As
Authorized Official - Title/Position:MANAGING MEMBER
Authorized Official - Prefix:
Authorized Official - First Name:ANNA
Authorized Official - Middle Name:
Authorized Official - Last Name:POLTORAK
Authorized Official - Suffix:
Authorized Official - Credentials:LPC
Authorized Official - Phone:860-944-1700
Mailing Address - Street 1:30 WYNGATE
Mailing Address - Street 2:
Mailing Address - City:SIMSBURY
Mailing Address - State:CT
Mailing Address - Zip Code:06070-1018
Mailing Address - Country:US
Mailing Address - Phone:860-944-1700
Mailing Address - Fax:
Practice Address - Street 1:40 AVON MEADOW LN BLDG 40
Practice Address - Street 2:
Practice Address - City:AVON
Practice Address - State:CT
Practice Address - Zip Code:06001-3753
Practice Address - Country:US
Practice Address - Phone:860-944-1700
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2018-06-07
Last Update Date:2019-12-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental HealthGroup - Single Specialty