Provider Demographics
NPI:1376029140
Name:HARMONY HEALTH & WELLNESS CENTER LLC
Entity Type:Organization
Organization Name:HARMONY HEALTH & WELLNESS CENTER LLC
Other - Org Name:HARMONY HEALTH
Other - Org Type:Doing Business As
Authorized Official - Title/Position:SOLE MEMBER
Authorized Official - Prefix:
Authorized Official - First Name:BRIAN
Authorized Official - Middle Name:
Authorized Official - Last Name:DEPORZIO
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:480-597-6448
Mailing Address - Street 1:5980 S COOPER RD STE 3
Mailing Address - Street 2:
Mailing Address - City:CHANDLER
Mailing Address - State:AZ
Mailing Address - Zip Code:85249-5394
Mailing Address - Country:US
Mailing Address - Phone:480-597-6448
Mailing Address - Fax:480-522-3151
Practice Address - Street 1:5980 S COOPER RD STE 3
Practice Address - Street 2:
Practice Address - City:CHANDLER
Practice Address - State:AZ
Practice Address - Zip Code:85249-5394
Practice Address - Country:US
Practice Address - Phone:480-597-6448
Practice Address - Fax:480-522-3151
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2018-07-16
Last Update Date:2020-07-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QH0100XAmbulatory Health Care FacilitiesClinic/CenterHealth Service
No261QM0801XAmbulatory Health Care FacilitiesClinic/CenterMental Health (Including Community Mental Health Center)