Provider Demographics
NPI:1306438296
Name:HARMONY BEHAVIORAL SERVICES, LLC
Entity type:Organization
Organization Name:HARMONY BEHAVIORAL SERVICES, LLC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:CREDENTIALING MANAGER
Authorized Official - Prefix:MR
Authorized Official - First Name:KYLE
Authorized Official - Middle Name:JOHN
Authorized Official - Last Name:SMITH
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:502-709-5240
Mailing Address - Street 1:6225 OSAGE RD
Mailing Address - Street 2:
Mailing Address - City:CRESTWOOD
Mailing Address - State:KY
Mailing Address - Zip Code:40014-9611
Mailing Address - Country:US
Mailing Address - Phone:727-592-8657
Mailing Address - Fax:727-592-8656
Practice Address - Street 1:6435 W HIGHWAY 146 STE 3
Practice Address - Street 2:
Practice Address - City:CRESTWOOD
Practice Address - State:KY
Practice Address - Zip Code:40014-9575
Practice Address - Country:US
Practice Address - Phone:727-592-8657
Practice Address - Fax:727-592-8656
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-02-11
Last Update Date:2023-11-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes103K00000XBehavioral Health & Social Service ProvidersBehavior AnalystGroup - Single Specialty