Provider Demographics
NPI:1437300506
Name:ABC THERAPY, INC.
Entity Type:Organization
Organization Name:ABC THERAPY, INC.
Other - Org Name:HARMONY HEALTHCARE
Other - Org Type:Other Name
Authorized Official - Title/Position:COUNSELOR
Authorized Official - Prefix:MS
Authorized Official - First Name:PATRICIA
Authorized Official - Middle Name:A
Authorized Official - Last Name:ARCHER
Authorized Official - Suffix:
Authorized Official - Credentials:THERAPIST
Authorized Official - Phone:928-763-0250
Mailing Address - Street 1:3003 HIGHWAY 95
Mailing Address - Street 2:SUITE N-104
Mailing Address - City:BULLHEAD CITY
Mailing Address - State:AZ
Mailing Address - Zip Code:86442-7860
Mailing Address - Country:US
Mailing Address - Phone:928-763-0250
Mailing Address - Fax:928-763-0271
Practice Address - Street 1:3003 HIGHWAY 95
Practice Address - Street 2:SUITE N-104
Practice Address - City:BULLHEAD CITY
Practice Address - State:AZ
Practice Address - Zip Code:86442-7860
Practice Address - Country:US
Practice Address - Phone:928-763-0250
Practice Address - Fax:928-763-0271
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-10-07
Last Update Date:2008-10-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZBH-3065305R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes305R00000XManaged Care OrganizationsPreferred Provider Organization