Provider Demographics
NPI:1518602754
Name:HARMONY & UNITY MENTAL HEALTH
Entity Type:Organization
Organization Name:HARMONY & UNITY MENTAL HEALTH
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER, APN
Authorized Official - Prefix:
Authorized Official - First Name:OLUKEMI
Authorized Official - Middle Name:
Authorized Official - Last Name:OWOSENI
Authorized Official - Suffix:
Authorized Official - Credentials:APN
Authorized Official - Phone:347-551-1187
Mailing Address - Street 1:192 WAVERLY DR
Mailing Address - Street 2:
Mailing Address - City:EAST STROUDSBURG
Mailing Address - State:PA
Mailing Address - Zip Code:18302-9061
Mailing Address - Country:US
Mailing Address - Phone:347-551-1187
Mailing Address - Fax:
Practice Address - Street 1:196 DWIGHT ST
Practice Address - Street 2:
Practice Address - City:JERSEY CITY
Practice Address - State:NJ
Practice Address - Zip Code:07305-3204
Practice Address - Country:US
Practice Address - Phone:551-258-4422
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-05-02
Last Update Date:2023-09-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251S00000XAgenciesCommunity/Behavioral Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
NJ0562521Medicaid