Provider Demographics
NPI:1689363541
Name:HUMANITY HEALTH, LLC
Entity Type:Organization
Organization Name:HUMANITY HEALTH, LLC
Other - Org Name:HUMANITY HEALTH, LLC
Other - Org Type:Former Legal Business Name
Authorized Official - Title/Position:DOCTOR OF NURSING PRACTICE/ MANAGER
Authorized Official - Prefix:DR
Authorized Official - First Name:DAMIKA
Authorized Official - Middle Name:
Authorized Official - Last Name:HARMON
Authorized Official - Suffix:
Authorized Official - Credentials:DNP, APRN, NP-C
Authorized Official - Phone:337-502-8070
Mailing Address - Street 1:2828 HENDERSON FOREST DR
Mailing Address - Street 2:
Mailing Address - City:LAKE CHARLES
Mailing Address - State:LA
Mailing Address - Zip Code:70605-2259
Mailing Address - Country:US
Mailing Address - Phone:337-502-8070
Mailing Address - Fax:337-478-5926
Practice Address - Street 1:1409 KIRKMAN ST
Practice Address - Street 2:
Practice Address - City:LAKE CHARLES
Practice Address - State:LA
Practice Address - Zip Code:70601-5344
Practice Address - Country:US
Practice Address - Phone:337-478-5926
Practice Address - Fax:337-478-5926
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-05-04
Last Update Date:2024-01-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes363LA2200XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerAdult HealthGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
LA1812986Medicaid