Provider Demographics
NPI:1689016644
Name:HARMONIZED CARE LLC
Entity Type:Organization
Organization Name:HARMONIZED CARE LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ADMINISTRATOR/CARE COORDINATOR
Authorized Official - Prefix:
Authorized Official - First Name:MIKKI
Authorized Official - Middle Name:
Authorized Official - Last Name:STAZEL
Authorized Official - Suffix:
Authorized Official - Credentials:LCSW
Authorized Official - Phone:907-830-3759
Mailing Address - Street 1:449 DAILEY AVE # D18
Mailing Address - Street 2:
Mailing Address - City:ANCHORAGE
Mailing Address - State:AK
Mailing Address - Zip Code:99515-3427
Mailing Address - Country:US
Mailing Address - Phone:907-830-3759
Mailing Address - Fax:907-522-3335
Practice Address - Street 1:449 DAILEY AVE # D18
Practice Address - Street 2:
Practice Address - City:ANCHORAGE
Practice Address - State:AK
Practice Address - Zip Code:99515-3427
Practice Address - Country:US
Practice Address - Phone:907-830-3759
Practice Address - Fax:907-522-3335
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2013-07-18
Last Update Date:2013-07-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251B00000XAgenciesCase Management