Provider Demographics
NPI:1063503399
Name:HARMONY MENTAL HEALTH SERVICES, INC.
Entity Type:Organization
Organization Name:HARMONY MENTAL HEALTH SERVICES, INC.
Other - Org Name:TEXAS HARMONY HOUSE
Other - Org Type:Other Name
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MR
Authorized Official - First Name:ALLEN
Authorized Official - Middle Name:
Authorized Official - Last Name:PHILLIPS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:832-504-6743
Mailing Address - Street 1:1135 EDGEBROOK DR
Mailing Address - Street 2:
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77034-1841
Mailing Address - Country:US
Mailing Address - Phone:713-910-1900
Mailing Address - Fax:713-910-1901
Practice Address - Street 1:1135 EDGEBROOK DRIVE
Practice Address - Street 2:
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77034-1861
Practice Address - Country:US
Practice Address - Phone:713-944-7700
Practice Address - Fax:713-944-7701
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-09-28
Last Update Date:2012-07-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QM0801XAmbulatory Health Care FacilitiesClinic/CenterMental Health (Including Community Mental Health Center)
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX454909Medicare ID - Type Unspecified