Provider Demographics
NPI:1639862253
Name:HARMONY MOOD LLC
Entity Type:Organization
Organization Name:HARMONY MOOD LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:HAMUTYINEI
Authorized Official - Middle Name:HARMONY
Authorized Official - Last Name:MAMUTSE
Authorized Official - Suffix:
Authorized Official - Credentials:PMHNP
Authorized Official - Phone:513-349-8451
Mailing Address - Street 1:675 DEIS DR STE 130
Mailing Address - Street 2:
Mailing Address - City:FAIRFIELD
Mailing Address - State:OH
Mailing Address - Zip Code:45014-8136
Mailing Address - Country:US
Mailing Address - Phone:513-349-8451
Mailing Address - Fax:
Practice Address - Street 1:675 DEIS DR STE 130
Practice Address - Street 2:
Practice Address - City:FAIRFIELD
Practice Address - State:OH
Practice Address - Zip Code:45014-8136
Practice Address - Country:US
Practice Address - Phone:513-349-8451
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-05-30
Last Update Date:2023-05-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QM0850XAmbulatory Health Care FacilitiesClinic/CenterAdult Mental Health