Provider Demographics
NPI:1538693668
Name:HARMONY IN HEALING
Entity Type:Organization
Organization Name:HARMONY IN HEALING
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:JACK
Authorized Official - Middle Name:R
Authorized Official - Last Name:KETTERING
Authorized Official - Suffix:
Authorized Official - Credentials:MS, CMHC
Authorized Official - Phone:385-240-0321
Mailing Address - Street 1:920 HERITAGE PARK BLVD
Mailing Address - Street 2:SUITE 200B
Mailing Address - City:LAYTON
Mailing Address - State:UT
Mailing Address - Zip Code:84041-5638
Mailing Address - Country:US
Mailing Address - Phone:385-240-0321
Mailing Address - Fax:
Practice Address - Street 1:920 HERITAGE PARK BLVD
Practice Address - Street 2:SUITE 200B
Practice Address - City:LAYTON
Practice Address - State:UT
Practice Address - Zip Code:84041-5638
Practice Address - Country:US
Practice Address - Phone:385-240-0321
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2017-04-15
Last Update Date:2017-04-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
UT8132472-6004101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental HealthGroup - Single Specialty