Provider Demographics
NPI:1437872132
Name:HARMONIOUS HUMMINGBIRD LLC
Entity Type:Organization
Organization Name:HARMONIOUS HUMMINGBIRD LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/PROVIDER
Authorized Official - Prefix:
Authorized Official - First Name:ORINTHEA
Authorized Official - Middle Name:
Authorized Official - Last Name:DECARISH
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:754-399-7137
Mailing Address - Street 1:701 MARBELLA LN APT 200
Mailing Address - Street 2:
Mailing Address - City:SANFORD
Mailing Address - State:FL
Mailing Address - Zip Code:32771-0187
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:701 MARBELLA LN APT 200
Practice Address - Street 2:
Practice Address - City:SANFORD
Practice Address - State:FL
Practice Address - Zip Code:32771-0187
Practice Address - Country:US
Practice Address - Phone:754-399-7137
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-09-19
Last Update Date:2022-09-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental HealthGroup - Single Specialty
No106H00000XBehavioral Health & Social Service ProvidersMarriage & Family TherapistGroup - Single Specialty