Provider Demographics
NPI:1033462916
Name:HARMONY COUNSELING CENTER LLC
Entity Type:Organization
Organization Name:HARMONY COUNSELING CENTER LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:MELANIE
Authorized Official - Middle Name:ABRAHAM
Authorized Official - Last Name:DE QUADROS
Authorized Official - Suffix:
Authorized Official - Credentials:LPC
Authorized Official - Phone:810-423-7576
Mailing Address - Street 1:3575 MACON RD
Mailing Address - Street 2:SUITE 18
Mailing Address - City:COLUMBUS
Mailing Address - State:GA
Mailing Address - Zip Code:31907-8200
Mailing Address - Country:US
Mailing Address - Phone:706-565-5927
Mailing Address - Fax:
Practice Address - Street 1:3575 MACON RD
Practice Address - Street 2:SUITE 18
Practice Address - City:COLUMBUS
Practice Address - State:GA
Practice Address - Zip Code:31907-8200
Practice Address - Country:US
Practice Address - Phone:706-565-5927
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2012-10-17
Last Update Date:2013-06-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GALPC006925101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessionalGroup - Multi-Specialty