Provider Demographics
NPI:1093576217
Name:HARMONY PSYCHIATRY AND WELLNESS PLLC
Entity Type:Organization
Organization Name:HARMONY PSYCHIATRY AND WELLNESS PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PSYCHIATRIC MENTAL HEALTH NP
Authorized Official - Prefix:
Authorized Official - First Name:NGOZI
Authorized Official - Middle Name:SHEILA
Authorized Official - Last Name:UWADIALE
Authorized Official - Suffix:
Authorized Official - Credentials:NP
Authorized Official - Phone:708-880-9787
Mailing Address - Street 1:14855 S VAN DYKE RD UNIT 695
Mailing Address - Street 2:
Mailing Address - City:PLAINFIELD
Mailing Address - State:IL
Mailing Address - Zip Code:60544-4328
Mailing Address - Country:US
Mailing Address - Phone:708-880-9787
Mailing Address - Fax:
Practice Address - Street 1:281 FREDERICK DR
Practice Address - Street 2:
Practice Address - City:CHICAGO HEIGHTS
Practice Address - State:IL
Practice Address - Zip Code:60411-1032
Practice Address - Country:US
Practice Address - Phone:708-880-9787
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-01-16
Last Update Date:2024-01-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes363LP0808XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPsychiatric/Mental HealthGroup - Single Specialty
No261QH0100XAmbulatory Health Care FacilitiesClinic/CenterHealth Service