Provider Demographics
NPI:1588010615
Name:FAMILY HARMONY, LLC
Entity Type:Organization
Organization Name:FAMILY HARMONY, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO/ CLINICAIN
Authorized Official - Prefix:
Authorized Official - First Name:ELIZABETH
Authorized Official - Middle Name:
Authorized Official - Last Name:MCDOUGALL
Authorized Official - Suffix:
Authorized Official - Credentials:LCSW
Authorized Official - Phone:208-453-2728
Mailing Address - Street 1:2922 CLEVELAND BLVD
Mailing Address - Street 2:SUITE 500
Mailing Address - City:CALDWELL
Mailing Address - State:ID
Mailing Address - Zip Code:83605-4436
Mailing Address - Country:US
Mailing Address - Phone:208-453-2728
Mailing Address - Fax:208-455-1474
Practice Address - Street 1:2922 CLEVELAND BLVD
Practice Address - Street 2:SUITE 500
Practice Address - City:CALDWELL
Practice Address - State:ID
Practice Address - Zip Code:83605-4436
Practice Address - Country:US
Practice Address - Phone:208-453-2728
Practice Address - Fax:208-455-1474
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-05-07
Last Update Date:2016-05-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IDLCSW-29269101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental HealthGroup - Single Specialty