Provider Demographics
NPI:1619562980
Name:HARMONY COUNSELING SERVICES, LLC
Entity Type:Organization
Organization Name:HARMONY COUNSELING SERVICES, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MRS
Authorized Official - First Name:TIMMIE
Authorized Official - Middle Name:LYN
Authorized Official - Last Name:JOHN
Authorized Official - Suffix:
Authorized Official - Credentials:LCSW
Authorized Official - Phone:208-206-2864
Mailing Address - Street 1:603 E 1270 N
Mailing Address - Street 2:
Mailing Address - City:SHELLEY
Mailing Address - State:ID
Mailing Address - Zip Code:83274-4902
Mailing Address - Country:US
Mailing Address - Phone:208-206-2864
Mailing Address - Fax:
Practice Address - Street 1:482 CONSTITUTION WAY STE 106
Practice Address - Street 2:
Practice Address - City:IDAHO FALLS
Practice Address - State:ID
Practice Address - Zip Code:83402-3568
Practice Address - Country:US
Practice Address - Phone:208-206-2864
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-03-08
Last Update Date:2021-03-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QM0801XAmbulatory Health Care FacilitiesClinic/CenterMental Health (Including Community Mental Health Center)