Provider Demographics
NPI:1497810246
Name:HARMONY HEALING
Entity Type:Organization
Organization Name:HARMONY HEALING
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PARTNER
Authorized Official - Prefix:MS
Authorized Official - First Name:KATHLEEN
Authorized Official - Middle Name:ANNE
Authorized Official - Last Name:RILEY-TRYON
Authorized Official - Suffix:
Authorized Official - Credentials:LCSW
Authorized Official - Phone:315-436-5428
Mailing Address - Street 1:530 OAK ST
Mailing Address - Street 2:
Mailing Address - City:SYRACUSE
Mailing Address - State:NY
Mailing Address - Zip Code:13203-1652
Mailing Address - Country:US
Mailing Address - Phone:315-436-5428
Mailing Address - Fax:315-422-2022
Practice Address - Street 1:530 OAK ST
Practice Address - Street 2:
Practice Address - City:SYRACUSE
Practice Address - State:NY
Practice Address - Zip Code:13203-1652
Practice Address - Country:US
Practice Address - Phone:315-436-5428
Practice Address - Fax:315-422-2022
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-12-22
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY069916-1101YM0800X
NYR054757-1101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental HealthGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
NYP89529Medicare UPIN
NYP34753Medicare UPIN