Provider Demographics
NPI:1679699706
Name:HARMONY THERAPY AND WELLNESS LLC
Entity Type:Organization
Organization Name:HARMONY THERAPY AND WELLNESS LLC
Other - Org Name:ELIZABETH HARMENING, OT, LLC
Other - Org Type:Former Legal Business Name
Authorized Official - Title/Position:OWNER/PRACTITIONER
Authorized Official - Prefix:
Authorized Official - First Name:ELIZABETH
Authorized Official - Middle Name:
Authorized Official - Last Name:HARMENING
Authorized Official - Suffix:
Authorized Official - Credentials:DR OT, OTR/L
Authorized Official - Phone:217-592-3665
Mailing Address - Street 1:639 YORK
Mailing Address - Street 2:ROOM 201
Mailing Address - City:QUINCY
Mailing Address - State:IL
Mailing Address - Zip Code:62301
Mailing Address - Country:US
Mailing Address - Phone:217-592-3665
Mailing Address - Fax:419-791-5526
Practice Address - Street 1:639 YORK
Practice Address - Street 2:ROOM 201
Practice Address - City:QUINCY
Practice Address - State:IL
Practice Address - Zip Code:62301
Practice Address - Country:US
Practice Address - Phone:217-592-3665
Practice Address - Fax:419-791-5526
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-03-21
Last Update Date:2012-02-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL056-003111225X00000X
225X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational TherapistGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
IL204182Medicare PIN