Provider Demographics
NPI:1003674326
Name:HARMONY MENTAL HEALTH SERVICES LLC
Entity Type:Organization
Organization Name:HARMONY MENTAL HEALTH SERVICES LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:TENBIT
Authorized Official - Middle Name:
Authorized Official - Last Name:ETAFA
Authorized Official - Suffix:
Authorized Official - Credentials:LPC
Authorized Official - Phone:651-273-9074
Mailing Address - Street 1:6437 INSPIRE CIR S
Mailing Address - Street 2:
Mailing Address - City:COTTAGE GROVE
Mailing Address - State:MN
Mailing Address - Zip Code:55016-4692
Mailing Address - Country:US
Mailing Address - Phone:651-273-9074
Mailing Address - Fax:651-240-6036
Practice Address - Street 1:2136 FORD PKWY # 5609
Practice Address - Street 2:
Practice Address - City:SAINT PAUL
Practice Address - State:MN
Practice Address - Zip Code:55116-2850
Practice Address - Country:US
Practice Address - Phone:651-273-9074
Practice Address - Fax:651-240-6036
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-03-11
Last Update Date:2024-03-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessionalGroup - Multi-Specialty